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Jeffery J Waters

Rehabilitation Practitioner in North Hills, CA. Individual provider (NPI-1).

NPI number1760675607
StatusActive
Last updated in NPPESJun 5, 2013

Details

NPI
1760675607
Entity type
Individual (NPI-1)
Name
Mr. Jeffery J Waters
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2007
Last updated
Jun 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

15305 Rayen St
North Hills, CA 91343-5117

Phone 818-402-3324

Mailing address

15305 Rayen St
North Hills, CA 91343-5117

Phone 818-402-3324

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