Individual
BRENDA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 574-9009
Mailing address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 574-9009
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
770641488
LA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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