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Alissa Waters

NPI 1265655260 · on the registry since 2007 · sole proprietor

Practice

Address
43273 335th Ave
Griggsville, IL 62340
Phone
(217) 833-2898
Fax
(217) 833-2898

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois