Individual
MYESHIA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 EAGLE VIEW BLVD APT 547, ANTIOCH, TN 37013-3463
(901) 480-2252
Mailing address
1445 EAGLE VIEW BLVD APT 547, ANTIOCH, TN 37013-3463
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT90323
TX
133V00000X
Registered Dietitian
LDN0000004567
TN
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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