Organization
J WATTS OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WATTS LOUISE JUANITA MD (MEDICAL DIRECTOR)
(951) 901-3570
Entity
Organization
Contact information
Practice address
4000 FOURTEENTH ST., 213, RIVERSIDE, CA 92501
(951) 901-3570
Mailing address
231 E. ALESSANNDRO BLVD, A136, RIVERSIDE, CA 92508
(951) 901-3570
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G50758
CA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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