Individual
BRANDY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25840 W 9 MILE RD # 10, SOUTHFIELD, MI 48033-3402
(313) 398-0133
Mailing address
15226 NORTHGATE BLVD APT 304, OAK PARK, MI 48237-1233
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
2701296772
MI
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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