Individual
CASEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11325 PEMBROOKE SQ, WALDORF, MD 20603-4807
(301) 719-1146
Mailing address
16210 LIVINGSTON RD, ACCOKEEK, MD 20607-2249
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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