Individual
MS. PEGGILU GARRETT WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
1504 AZALEA DR, LUFKIN, TX 75904-5334
(936) 637-6142
Mailing address
1504 AZALEA DR, LUFKIN, TX 75904-5334
(936) 637-6142
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT02678
TX
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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