Individual
JAMIE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, EMT
Contact information
Practice address
675 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94901
(415) 464-3800
Mailing address
1788 ALAN DR, PENNGROVE, CA 94951
(707) 795-2646
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E064579
CA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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