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Individual

MRS. LEOCELL A WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN,RN

Contact information

Practice address
624 E ELDER ST, FALLBROOK, CA 92028-3004
(760) 451-4165
Mailing address
27265 PACHEA TRL, HEMET, CA 92544-8118
(951) 742-3994

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95418685
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95418685
CA

Other

Enumeration date
05/26/2025
Last updated
05/26/2025
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