Individual
NICOLE LOVE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
1816 HOWARD AVE, SAN DIEGO, CA 92103-2507
(619) 220-8189
Mailing address
6638 LAVANDULA CT, SAN DIEGO, CA 92130-4897
(619) 723-5767
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2024
CA
Other
Enumeration date
12/28/2013
Last updated
12/28/2013
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