Organization
WATERSIDE HEALTHCARE SERVICES INC
Active
Other names
WATERSIDE HEALTHCARE SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
TAIWO ODUKOYA ODUTOLA OWNER (NP)
(310) 927-2119
Entity
Organization
Contact information
Practice address
21880 ORRICK AVE, CARSON, CA 90745-3052
(310) 927-2119
Mailing address
21880 ORRICK AVE, CARSON, CA 90745-3052
(310) 927-2119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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