Individual
AMY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 FREELAND RD, ELLENBORO, WV 26346-8025
(304) 780-5963
Mailing address
1028 FREELAND RD, ELLENBORO, WV 26346-8025
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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