Individual
ROFIESHA RANISHA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 PAUL RUSSELL RD APT 89, TALLAHASSEE, FL 32301-0914
(850) 212-3149
Mailing address
1515 PAUL RUSSELL RD APT 89, TALLAHASSEE, FL 32301-0914
(850) 212-3149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5236677
FL
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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