Organization
JACK V. WATERS, D.C., P.C.
Active
Organization
JACK V. WATERS, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK V. WATERS D.C. (PRESIDENT)
(575) 763-8888
Entity
Organization
Contact information
Practice address
1833 W 21ST ST, CLOVIS, NM 88101-4023
(575) 763-8888
(575) 763-8891
Mailing address
1833 W 21ST ST, CLOVIS, NM 88101-4023
(575) 763-8888
(575) 763-8891
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
989
NM
Other
Enumeration date
09/04/2008
Last updated
12/10/2008
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