Individual
DERRICA L WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7920 OPAL STATION DR, RENO, NV 89506-7784
(775) 313-4661
Mailing address
7920 OPAL STATION DR, RENO, NV 89506-7784
(775) 313-4661
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770036733
—
NV
Enumeration date
07/02/2021
Last updated
07/02/2021
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