Individual
JULIE A WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1903 ADAMS ST, SHELTON, WA 98584-4103
(360) 970-2197
Mailing address
1903 ADAMS ST, SHELTON, WA 98584-4103
(360) 970-2197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00156787
WI
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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