SearchOhio374U00000X

Shanice Watt

NPI 1578132247 · on the registry since 2021 · sole proprietor

Practice

Address
2627 Alma Ct
Youngstown, OH 44509
Phone
(330) 774-0783

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-17

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 Ohio