Individual
TAIYA S WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15097 CRUSE ST, DETROIT, MI 48227-3239
(313) 946-7874
Mailing address
15097 CRUSE ST, DETROIT, MI 48227-3239
(313) 946-7874
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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