Individual
AARON C WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11167 ROSARITA DR, LOMA LINDA, CA 92354-3207
(909) 252-2123
Mailing address
11167 ROSARITA DR, LOMA LINDA, CA 92354-3207
(909) 252-2123
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT8182
CA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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