Individual
SHANNA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7100 GRANDVIEW AVE, ARVADA, CO 80002-2653
(909) 583-3602
Mailing address
5711 SAULSBURY ST, ARVADA, CO 80002-2647
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
04/25/2024
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