Organization
CLEAR WATERS HEALTH AND WELLNESS OF SACRAMENTO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN JOHNSON (OWNER)
(732) 982-2674
Entity
Organization
Contact information
Practice address
8950 CAL CENTER DR, SUITE 165, SACRAMENTO, CA 95826-3259
(732) 982-2674
Mailing address
3 CORBETT WAY, EATONTOWN, NJ 07724-2283
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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