Individual
CIERA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21406 SE 69TH AVE, HAWTHORNE, FL 32640-3935
(352) 281-5649
Mailing address
PO BOX 212, HAWTHORNE, FL 32640-0212
(352) 281-5649
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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