Individual
LAQUASHA LOUISE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 WELLESLEY AVE, CHARLOTTE, NC 28207-2448
(704) 337-2220
Mailing address
7017 BRIGHTWORK LN, CHARLOTTE, NC 28269-3108
(803) 322-2722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22154
SC
363LF0000X
Family Nurse Practitioner
Primary
5011872
NC
Other
Enumeration date
12/13/2018
Last updated
11/09/2023
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