Individual
MR. CHARLES PHILLIP WATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6135
Mailing address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6135
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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