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Individual

TELISHA WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1105 APRILIA LN, DALLAS, NC 28034-9382
(704) 912-6184
Mailing address
1105 APRILIA LN, DALLAS, NC 28034-9382
(704) 912-6184

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NC

Other

Enumeration date
10/31/2025
Last updated
11/10/2025
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