Most Relevant Information
Provider Data
| NPI Number: | 1003303207 |
| Provider Name: | VONETTA WATSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2018 |
| Last Updated: | 04/13/2018 |
Provider Practice Location
5198 RICHMOND RD
BEDFORD HEIGHTS
OH
441461331
Practice Location Phone/Fax
| Phone: | 2163789101 |
| Fax: |
Provider Mailing Location
12339 WAKE UNION CHURCH RD
WAKE FOREST
NC
275874512
Provider Mailing Phone/Fax
| Phone: | 9192639293 |
| Fax: |