Individual
MRS. MICHELLE RIDER WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 HENKE CV, KYLE, TX 78640-4636
(512) 897-9808
Mailing address
121 HENKE CV, KYLE, TX 78640-4636
(512) 897-9808
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
847068
TX
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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