Individual
MS. RENE ANNETTE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
23651 MATTS DR, BROWNSTOWN, MI 48174-9658
(734) 512-8690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121360
MI
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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