Most Relevant Information
Provider Data
| NPI Number: | 1003590019 |
| Provider Name: | TENNEL WATSON |
| Entity Type: | Individual |
| Taxonomy Code: | 253Z00000X |
| Specialty: | In Home Supportive Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
144 FAIR ST APT 302
PATERSON
NJ
075014209
Practice Location Phone/Fax
| Phone: | 6462419060 |
| Fax: |
Provider Mailing Location
144 FAIR ST APT 302
PATERSON
NJ
075014209
Provider Mailing Phone/Fax
| Phone: | 6462419060 |
| Fax: |