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Search › Michigan › 225200000X

Mashawn Lewis Watts

NPI 1295486496 · on the registry since 2022 · sole proprietor

Practice

Address
31023 Birchlawn St
Garden City, MI 48135
Phone
(313) 492-6796
Organisation at this address
Blossom Adult Day Center Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan