Individual
LAURA BETH CORONATO WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2200 11TH AVE, VIENNA, WV 26105-2383
(304) 654-9175
Mailing address
2200 11TH AVE, VIENNA, WV 26105-2383
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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