Individual
NANCY LOUISE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
370 S 200 W, HYRUM, UT 84319-1538
(435) 245-7650
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
22665
CA
172V00000X
Community Health Worker
Primary
7209192-2401
UT
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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