Individual
NINA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11410 RESTON STATION BLVD APT 442, RESTON, VA 20190-5425
(202) 596-1592
Mailing address
11410 RESTON STATION BLVD APT 442, RESTON, VA 20190-5425
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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