Individual
MRS. EMILY RENEE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2625 FAIR OAKS BLVD, #1, SACRAMENTO, CA 95864
(209) 403-9005
Mailing address
2625 FAIR OAKS BLVD, STE 1, SACRAMENTO, CA 95864-4936
(916) 646-3376
(916) 646-3336
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA23080
CA
Other
Enumeration date
09/24/2013
Last updated
03/01/2023
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