Provider Demographics
NPI:1851015010
Name:WATKINS, ROME DELMAR
Entity Type:Individual
Prefix:MR
First Name:ROME
Middle Name:DELMAR
Last Name:WATKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 HORNBEAM CT
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-5516
Mailing Address - Country:US
Mailing Address - Phone:301-538-8389
Mailing Address - Fax:
Practice Address - Street 1:3001 BLADENSBURG RD NE APT 610
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2248
Practice Address - Country:US
Practice Address - Phone:240-462-0096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant