Individual
ALICE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 VIRGINIA ST STE B, VALLEJO, CA 94590-6017
(707) 332-7825
Mailing address
7238 ABERFELDY WAY, SACRAMENTO, CA 95842-1631
(559) 281-3502
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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