Kristal Denise Watkis, LPN | |
12 Dale Ave Apt D10, Paterson, NJ 07505-1936 | |
(804) 647-2352 | |
Not Available |
Full Name | Kristal Denise Watkis |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 12 Dale Ave Apt D10, Paterson, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417384009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 314346 (New York) | Primary |
164W00000X | Licensed Practical Nurse | 2073714 (Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Kristal Denise Watkis, LPN 12 Dale Ave Apt D10, Paterson, NJ 07505-1936 Ph: (804) 647-2352 | Kristal Denise Watkis, LPN 12 Dale Ave Apt D10, Paterson, NJ 07505-1936 Ph: (804) 647-2352 |
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