Mr. Gregory Allen Waters
Mr. Gregory Allen Waters is a Student in an Organized Health Care Education/Training Program in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
3601 Pacific AveStockton, CA 95211-0110
Phone: (209) 946-2132
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1902029960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 3601 Pacific Ave, Stockton, CA 95211-0110 |
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