Individual
SAMANTHA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 WILDWOOD AVE, SAINT PAUL, MN 55110-1624
(612) 381-6767
Mailing address
153 WILDWOOD AVE, SAINT PAUL, MN 55110-1624
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1675295
CO
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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