Individual
SAMANTHA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1590 BIG UGLY CRK, HARTS, WV 25524-7098
(304) 055-7859
Mailing address
1590 BIG UGLY CRK, HARTS, WV 25524-7098
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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