Individual
TATANISHA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 RIDGEDALE PKWY, NORTH CHESTERFIELD, VA 23234-6928
(804) 986-9398
Mailing address
6712 ARBOR MEADOWS DR, CHESTER, VA 23831-7831
(804) 986-9398
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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