Individual
MS. BRITTANI KIARA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301
(936) 756-5598
Mailing address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341463
NURSING LICENSE NUMBER
TX
Enumeration date
07/30/2018
Last updated
07/30/2018
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