Individual
MISS ROSEMARIE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
315 S. KOBUK ST., SUITE #2, SOLDOTNA, AK 99669
(907) 420-0820
(253) 639-4809
Mailing address
PO BOX 748, KENAI, AK 99611-0748
(719) 650-5541
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
MA60055196
WA
225700000X
Massage Therapist
Primary
101540
AK
Other
Enumeration date
04/01/2009
Last updated
02/17/2017
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