Individual
PRISCILLA INEZ WATSON-MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
130 BIG SHOT LN, GASTON, SC 29053-8216
(803) 457-1789
Mailing address
130 BIG SHOT LN, GASTON, SC 29053-8216
(803) 457-1789
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
109586E
SC
Other
Enumeration date
05/16/2013
Last updated
06/17/2013
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