Individual
DARREN MICHAEL WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, EMT, FF, MA
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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