Individual
SHAQUITA MONAE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3210 CHURCHLAND BLVD STE 5, CHESAPEAKE, VA 23321-5253
(757) 785-6263
Mailing address
3210 CHURCHLAND BLVD STE 5, CHESAPEAKE, VA 23321-5253
(757) 785-6263
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861647313
IRS
—
Enumeration date
03/20/2021
Last updated
03/20/2021
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