SearchIllinois225X00000X

Tamara Watson

NPI 1396066007 · on the registry since 2010 · sole proprietor

Practice

Address
1373 Diadrian Professional Park
Godfrey, IL 62002
Phone
(618) 468-8010

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-16

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 Illinois