Individual
ANTONINA SANDRA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7408 ABERDEEN AVE, CLEVELAND, OH 44103-2040
(216) 938-8012
Mailing address
7408 ABERDEEN AVE, CLEVELAND, OH 44103-2040
(216) 938-8012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN122570
OH
Other
Enumeration date
09/19/2009
Last updated
09/19/2009
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