TANEKQUA WATTS

MYRTLE BEACH, SC
NPI1770953226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies172A00000X Driver
347C00000X Private Vehicle
Enumeration Date2015-09-27
Last Update Date2015-09-27
Business Address
-- TANEKQUA WATTS
811 WATTS AVE
MYRTLE BEACH, SC 29577-3436
Phone number: 843-593-2191
Mailing Address
-- TANEKQUA WATTS
811 WATTS AVE
MYRTLE BEACH, SC 29577-3436
Phone number: 843-593-2191