Individual
JEANETTE MARIE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 OVERHILL RD, OPP, AL 36467-1726
(334) 400-2932
Mailing address
302 OVERHILL RD, OPP, AL 36467-1726
(334) 400-2932
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
2-058457
AL
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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