Individual
MRS. BLAIRE O WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6445 218TH ST, BAYSIDE, NY 11364-2237
(718) 423-8475
Mailing address
6445 218TH ST, BAYSIDE, NY 11364-2237
(718) 423-8475
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4876921
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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