Provider Demographics
NPI:1700128386
Name:WATKINS, ALLISON SUZETTE (LM, MSM)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:SUZETTE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LM, MSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7365
Mailing Address - Country:US
Mailing Address - Phone:360-733-2904
Mailing Address - Fax:360-733-2909
Practice Address - Street 1:1401 6TH ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7365
Practice Address - Country:US
Practice Address - Phone:360-733-2904
Practice Address - Fax:360-733-2909
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife