Individual
DONTRELL EUGENE WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
(916) 473-5766
Mailing address
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823-2006
(916) 395-3552
(916) 473-5766
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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