Individual
NINA LOUISE WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 BERLIN RD, WILMINGTON, OH 45177-7830
(937) 383-0859
Mailing address
739 BERLIN RD, WILMINGTON, OH 45177-7830
(937) 383-0859
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1400791
OH
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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