Individual
MRS. CHARLENE DAMATO WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 363-8007
Mailing address
200 CARRICK CIR, HAYWARD, CA 94542-7915
(860) 227-9189
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
17675
CA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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