| Candice Watts, | |
|
15368 Prevost St, Detroit, MI 48227-1961 | |
| (248) 832-1736 | |
| Not Available |
| Full Name | Candice Watts |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 15368 Prevost St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992543862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703117321 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Watts, 15368 Prevost St, Detroit, MI 48227-1961 Ph: (248) 832-1736 | Candice Watts, 15368 Prevost St, Detroit, MI 48227-1961 Ph: (248) 832-1736 |
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