Individual
DEBRA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 NEWMAN AVE APT 406, LAKEWOOD, OH 44107
(216) 254-8885
Mailing address
1510 NEWMAN AVE APT 406, LAKEWOOD, OH 44107-5139
(216) 254-8885
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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