Individual
JOHN RICHARD WATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 YALE AVE # 202, CLAREMONT, CA 91711-4340
(909) 805-9193
Mailing address
427 YALE AVE # 202, CLAREMONT, CA 91711-4340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW124402
CA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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