Individual
ALISHA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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