Individual
DONNA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14883 CRAIGEN RD, BEAUMONT, TX 77705-7379
(409) 679-3206
Mailing address
14883 CRAIGEN RD, BEAUMONT, TX 77705-7379
(409) 679-3206
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08552047
HOME CAREGIVER
TX
Enumeration date
02/25/2022
Last updated
02/25/2022
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