# WATERMAN HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992034789
- **Authorized official:** MR. MIKE VISOVSKI (CEO)
- **Authorized official phone:** (909) 885-2464

## Contact information

- **Practice address:** 1396 N WATERMAN AVE, 109, SAN BERNARDINO, CA 92404-5313
- **Practice address phone:** (909) 885-2464
- **Mailing address:** 1396 N WATERMAN, 109, SAN BERNARDION, CA 92404-5313
- **Mailing address phone:** (909) 885-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 12/08/2009