Individual
CHARLES WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16820 CHANDLER RD APT 1320, EAST LANSING, MI 48823-5182
(214) 755-6385
Mailing address
16820 CHANDLER RD APT 1320, EAST LANSING, MI 48823-5182
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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