Individual
KIERA JACKLYN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 W KATELLA AVE STE 150, ORANGE, CA 92867-3432
(714) 399-3480
Mailing address
13838 VALNA DR, WHITTIER, CA 90605-1040
(562) 536-1855
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
11/06/2019
Last updated
08/03/2023
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