Individual
BARBARA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12128 172ND ST, JAMAICA, NY 11434-2607
(516) 472-8488
Mailing address
12128 172ND ST, JAMAICA, NY 11434-2607
(516) 472-8488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304619-1
NY
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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