Individual provider · NPI-1
Deborah Anna Watson, RN
Registered Nurse, General Practice · San Bernardino, CA
NPI number1972146140
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1972146140
- Entity type
- Individual (NPI-1)
- Name
- Deborah Anna Watson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2019
- Last updated
- Oct 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 465246 | CA | Yes |
Practice location
351 S Mt View Ave Ste 104San Bernardino, CA 92408-1414
Phone 800-722-4794 · Fax 909-387-6377
Mailing address
351 S Mt View Ave Ste 104San Bernardino, CA 92408-1414
Phone 800-722-4722 · Fax 909-387-6377
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