Organization
WATERMAN HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE VISOVSKI (CEO)
(909) 885-2464
Entity
Organization
Contact information
Practice address
1396 N WATERMAN AVE, 109, SAN BERNARDINO, CA 92404-5313
(909) 885-2464
Mailing address
1396 N WATERMAN, 109, SAN BERNARDION, CA 92404-5313
(909) 885-2464
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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