Individual
JOHNA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 186, BUCKHANNON, WV 26201-0186
(304) 472-0395
(304) 471-2488
Mailing address
25 STONE LAKE DR, ROANOKE, WV 26447-8440
(681) 533-5246
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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