Individual
MS. GWENDOLYN GAIL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1220 VALLEYVIEW AVE SW, CANTON, OH 44710-1428
(330) 546-6422
(330) 477-9143
Mailing address
1220 VALLEYVIEW AVE SW, CANTON, OH 44710-1428
(330) 546-6422
(330) 477-9143
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN135236IV
OH
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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