Individual
DEANA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
297 COLLINGSWORTH TRCE, LAWRENCEVILLE, GA 30043-7578
(217) 220-2356
Mailing address
297 COLLINGSWORTH TRCE, LAWRENCEVILLE, GA 30043-7578
(217) 220-2356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN100086
GA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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