Individual
MS. BONNIE LOU WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
221 W CHURCH ST, ELMIRA, NY 14901-2721
(607) 734-3646
Mailing address
1356 BREESPORT RD LOT 109, ERIN, NY 14838-9761
(607) 739-5891
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
290713-1
NY
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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