Most Relevant Information
Provider Data
| NPI Number: | 1003226887 |
| Provider Name: | TIFFANY DENISE WATSON |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 170312 |
Most Important Dates
| Enumeration Date: | 05/02/2014 |
| Last Updated: | 05/02/2014 |
Provider Practice Location
733 SW CR 242-A
LAKE CITY
FL
32025
Practice Location Phone/Fax
| Phone: | 3862921994 |
| Fax: |
Provider Mailing Location
733 SW CR 242-A
LAKE CITY
FL
32025
Provider Mailing Phone/Fax
| Phone: | 3862921994 |
| Fax: |