Individual
TERESE ANNETTA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
11 HILLSIDE AVE, APARTMENT 6C, NEW YORK, NY 10040-2305
(240) 285-0107
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
673606
NY
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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