Individual
AGATHA REBECCA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W LANE AVE UNIT 334, COLUMBUS, OH 43221-3963
(939) 267-8641
Mailing address
1600 W LANE AVE UNIT 334, COLUMBUS, OH 43221-3963
(939) 267-8641
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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