Individual
CARLIN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 947-2019
Mailing address
5826 VIRGINIA AVE APT 6, LOS ANGELES, CA 90038-2038
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/23/2020
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