Individual
MRS. CORNELIA JOHNSON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2900 SPRING HILL AVE, MOBILE, AL 36607-1822
(251) 287-8420
Mailing address
2900 SPRING HILL AVE, MOBILE, AL 36607-1822
(251) 287-8420
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-060074
AL
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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