Individual
SHVONNE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 E 56TH ST STE B, INDIANAPOLIS, IN 46220-2946
(317) 213-7975
Mailing address
3008 E 56TH ST STE B, INDIANAPOLIS, IN 46220-2946
(317) 213-7975
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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