Individual
MRS. JILL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2205 DUNCAN RD, WILMINGTON, DE 19808-4603
(302) 983-7788
Mailing address
2205 DUNCAN RD, WILMINGTON, DE 19808-4603
(302) 983-7788
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L20010260
DE
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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