Individual
BRIELLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 BURNSIDE CT, FLORISSANT, MO 63031-1103
(314) 791-3493
Mailing address
1440 BURNSIDE CT, FLORISSANT, MO 63031-1103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020001605
MO
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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