Individual
REGINA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 HAMPTON DR, OXON HILL, MD 20745-2661
(301) 272-7335
Mailing address
629 HAMPTON DR, OXON HILL, MD 20745-2661
(301) 272-7335
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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