Individual
CHRISTINE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 FAIRMONT AVE, FAIRMONT, WV 26554-0167
(213) 921-7754
Mailing address
95 FAIRMONT AVE, FAIRMONT, WV 26554-0167
(213) 921-7754
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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