Individual
COLETTE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5248 CRANE AVE, CASTRO VALLEY, CA 94546-2532
(510) 317-1444
Mailing address
2275 ARLINGTON DR, SAN LEANDRO, CA 94578-1132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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