Individual
CHINIQUA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
3344 BANGOR CRES, CHESAPEAKE, VA 23321-4449
(757) 739-0149
Mailing address
3344 BANGOR CRES, CHESAPEAKE, VA 23321-4449
(757) 739-0149
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1201099742
VA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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