Individual
SCHANNAN MICHELLE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11217 STATE ROUTE 41, WEST UNION, OH 45693-9397
(937) 544-1666
(937) 544-3369
Mailing address
11217 STATE ROUTE 41, WEST UNION, OH 45693-9397
(937) 544-1666
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
13500SC
OH
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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