DEITRA ANN WATSON

FARGO, ND
NPI1437345402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: IL  011245235)
Additional Taxonomies225700000X Massage Therapist
(Licence: IL  011245235)
Enumeration Date2007-09-24
Last Update Date2007-12-20
Business Address
-- DEITRA ANN WATSON
1011 18TH ST N 2B
FARGO, ND 58102-3238
Phone number: 701-212-9200
Mailing Address
-- DEITRA ANN WATSON
1011 18TH ST N 2B
FARGO, ND 58102-3238
Phone number:
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