Individual
DARREN MICHAEL WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, EMT, FF, MA
Contact information
Practice address
3041 W AVENUE K, LANCASTER, CA 93536-5426
(661) 722-6300
Mailing address
5834 GEM CT, LANCASTER, CA 93536-5602
(661) 202-0448
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
E073489
CA
174H00000X
Health Educator
Primary
—
CA
2255A2300X
Athletic Trainer
2000025473
CA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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