Individual
KATRINA SALLY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6634
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6634
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PTL19771
CA
Other
Enumeration date
03/18/2024
Last updated
10/13/2025
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