Individual
BRADLEY J WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(563) 940-1599
Mailing address
25917 ALLENS GROVE RD, DIXON, IA 52745-9641
(563) 940-1599
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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