Individual
MAMIE EVELYN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
501 23RD ST E, PALMETTO, FL 34221-2739
(941) 448-3127
Mailing address
501 23RD ST E, PALMETTO, FL 34221-2739
(941) 448-3127
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 87278
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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