Individual
MS. GALE C WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1360 EGGERT RD, AMHERST, NY 14226-3354
(716) 835-0417
(716) 835-2648
Mailing address
78 MARJORIE DR, TONAWANDA, NY 14223-2422
(716) 835-0417
(716) 835-2648
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
437171-1
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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