Individual
ELIZABETH WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 E SHORE BLVD, TIMBERLAKE, OH 44095-1901
(440) 864-4946
Mailing address
3 E SHORE BLVD, TIMBERLAKE, OH 44095-1901
(440) 864-4946
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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