Individual
CAROLINE D WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E RIVER PL STE 603, JACKSON, MS 39202-3441
(769) 251-4177
Mailing address
4440 BULLARD ST, JACKSON, MS 39209-3313
(769) 251-4177
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
05/03/2022
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