Individual
WANDA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 ELVIRA DR, NATCHITOCHES, LA 71457-3178
(318) 352-1969
Mailing address
205 ELVIRA DR, NATCHITOCHES, LA 71457-3178
(318) 352-1969
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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