Individual
SARA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15245 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850-6240
(301) 527-1650
Mailing address
15245 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850-6240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R206151
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R206151
RN LICENSE
MD
Enumeration date
10/16/2019
Last updated
10/16/2019
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