Individual
JESSICA ALEXANDRIA WATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1476
Mailing address
5661 3RD ST NE APT 131, WASHINGTON, DC 20011-2529
(252) 395-0702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000126118
VA
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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