Individual
KENNETH MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 WATERWAY, IRVINE, CA 92614-7091
(949) 892-7051
Mailing address
8 WATERWAY, IRVINE, CA 92614-7091
(949) 892-7051
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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