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Organization
PREVENTIVE CARE NETWORK MEDICAL SERVICES, INC.
Active
Organization
PREVENTIVE CARE NETWORK MEDICAL SERVICES, INC.
Active
Other names
JAMES A WATSON WELLNESS CENTER MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY GEOFFREY WATSON M.D. (CHIEF EXECUTIVE OFFICER)
(510) 444-9460
Entity
Organization
Contact information
Practice address
5709 MARKET ST, OAKLAND, CA 94608-2811
(510) 444-9460
(510) 444-9461
Mailing address
5709 MARKET ST, OAKLAND, CA 94608-2811
(510) 444-9460
(510) 444-9461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C41403
CA
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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