Individual
TYLICIA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12105 WESTLOCK PL, LAUREL, MD 20708-2422
(301) 775-7841
Mailing address
12105 WESTLOCK PL, LAUREL, MD 20708-2422
(301) 775-7841
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RN50260
DC
Other
Enumeration date
02/15/2015
Last updated
02/15/2015
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