Individual
MS. LATISHA ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12466 SIPSEY VALLEY RD S, RALPH, AL 35480-2000
(205) 420-1788
Mailing address
4932 WOODBEND DR NW, ACWORTH, GA 30101-7134
(205) 420-1788
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-059712
AL
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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