Individual
MS. SARAH MIMA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 BARSTOW RD, APT #14, BARSTOW, CA 92311-4988
(781) 710-3603
Mailing address
1250 BARSTOW RD, APT #14, BARSTOW, CA 92311-4988
(781) 710-3603
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
262598
MA
Other
Enumeration date
05/03/2006
Last updated
08/19/2015
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