Individual
ANNETTE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 CEDAR ST, SAN CARLOS, CA 94070
(650) 244-1519
Mailing address
373 BROOKMERE DR., SAN JOSE, CA 95123
(916) 230-2104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18014
CA
Other
Enumeration date
09/28/2016
Last updated
05/16/2019
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