Individual
DUJUAN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17430 W BANFF LN, SURPRISE, AZ 85388-7884
(313) 377-0301
Mailing address
711 E MISSOURI AVE, STE 300, PHOENIX, AZ 85014-2841
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
6671757
AZ
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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