Individual
MRS. CHERYL J WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3415 MARTIN LUTHER KING BLVD, SACRAMENTO, CA 95817
(916) 875-2995
(916) 875-2921
Mailing address
1287 BRANWOOD WAY, SACRAMENTO, CA 95831-4033
(916) 422-7053
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN166103
CA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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