Deitra Ann Watson
Deitra Ann Watson is a Massage Therapist in Fargo, North Dakota. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1011 18th St N 2BFargo, ND 58102-3238
Phone: (701) 212-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence 011245235 (IL) |
|---|---|
| Massage Therapist | Taxonomy 225700000X · Licence 011245235 (IL) |
Record details
| NPI number | 1437345402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2007 |
| Last updated in NPPES | December 20, 2007 |
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