Individual
DESTINY MICHOLE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17720 SCOTTSDALE BLVD, SHAKER HEIGHTS, OH 44122-6402
(216) 971-3251
Mailing address
17720 SCOTTSDALE BLVD, SHAKER HEIGHTS, OH 44122-6402
(216) 971-3251
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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