Individual
DIETRA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 885-0309
Mailing address
3974 ASHMONT DR, ERLANGER, KY 41018-2976
(513) 885-0309
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
RN314810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-486108
CONSULTATION
OH
Enumeration date
11/12/2021
Last updated
11/12/2021
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