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Individual

MS. KHANKNEESHAW ANNEE WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3501 S LA BREA AVE APT 103, LOS ANGELES, CA 90016-5247
(323) 445-5756
Mailing address
3501 S LA BREA AVE APT 103, LOS ANGELES, CA 90016-5247
(323) 445-5756

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A9736154
CA

Other

Enumeration date
03/13/2018
Last updated
06/16/2018
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