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Individual

DR. UTASHA NICHOLE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
5000 RIVERSIDE DR, SUITE C, DANVILLE, VA 24541-5621
(434) 822-2222
(434) 822-2101
Mailing address
5000 RIVERSIDE DR, SUITE C, DANVILLE, VA 24541-5621
(434) 822-2222
(434) 822-2101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556644
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11884413
ANTHEM
VA
Enumeration date
01/21/2009
Last updated
02/24/2012
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