Most Relevant Information
Provider Data
| NPI Number: | 1003230863 |
| Provider Name: | DIANA DEE WATSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2014 |
| Last Updated: | 02/13/2014 |
Provider Practice Location
1640 E FLAMINGO RD
#100
LAS VEGAS
NV
891195249
Practice Location Phone/Fax
| Phone: | 7023694357 |
| Fax: |
Provider Mailing Location
1640 E FLAMINGO RD
#100
LAS VEGAS
NV
891195249
Provider Mailing Phone/Fax
| Phone: | 7023694357 |
| Fax: |