Individual
CARMEN WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16037 MINNESOTA AVE, FORT LEONARD WOOD, MO 65473-1648
(573) 596-0491
Mailing address
16905 LAUREL RD, ELDRIDGE, MO 65463-8282
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2013021870
MO
Other
Enumeration date
02/25/2021
Last updated
02/26/2021
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