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Gregory Waters
NPI 1902029960 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3601 Pacific Ave
Stockton, CA 95211 - Phone
- (209) 946-2132
- Organisation at this address
- Jori Andrus
University Of The Pacific
University Of The Pacific
University Of The Pacific
Community Re-Entry ProgramInferred from a shared address, not stated in the registry. - Clinicians at this address
- 71
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 California