Individual
TANASHIA D WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1227 S BYRNE RD APT E 103, TOLEDO, OH 43614
(419) 208-4850
Mailing address
1227 S BYRNE RD APT E103, TOLEDO, OH 43614-2313
(419) 208-4850
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401152191010
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205650
—
OH
Enumeration date
06/08/2017
Last updated
07/21/2022
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