person
Mr. Gregory Allen Waters
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1902029960

Gregory Allen Waters is a Student in an Organized Health Care Education/Training Program based in Stockton, CA. Gregory Allen Waters practices in Stockton, CA. The NPI Number for Gregory Allen Waters is 1902029960 and holds a License No. (California).

The current practice location address for Gregory Allen Waters is 3601 Pacific Ave, Stockton, CA and can be reached out via phone at 209-946-2132. You can also correspond with Gregory Allen Waters through the mailing address at 3601 PACIFIC AVE, STOCKTON, CA - 95211-0110 (mailing address contact number: 209-946-2132).

Location: 3601 Pacific Ave, Stockton, CA, 95211-0110
person
Provider Profile Details
NPI Number
1902029960
Provider Name
Gregory Allen Waters
Credential
Provider Entity Type
Individual
Gender
Male
Address
3601 Pacific Ave, Stockton, CA, 95211-0110
Phone Number
209-946-2132
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 Pacific Ave
City
State
Zip
95211-0110
Phone Number
209-946-2132
Fax Number
person
Provider Business Mailing Address Details
Address
3601 Pacific Ave
City
State
Zip
95211-0110
Phone Number
209-946-2132
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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