Individual
MR. RONALD DARYL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8229 BUTLER RD, MOSS POINT, MS 39562-8942
(601) 624-3484
Mailing address
8229 BUTLER RD, MOSS POINT, MS 39562-8942
(601) 624-3484
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MS
Other
Enumeration date
10/09/2017
Last updated
06/16/2018
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