Individual
CLIFTON WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 DAVIS ST, SALISBURY, MD 21804
(443) 614-9829
Mailing address
206 DAVIS ST, SALISBURY, MD 21804
(443) 614-9829
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
20190936
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
MEDICAL TRANSPORTATION
—
Enumeration date
04/13/2019
Last updated
04/13/2019
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