Search › Arizona › 104100000X

Vivian Watters

NPI 1962164723 · on the registry since 2021 · sole proprietor

Practice

Address
303 S Recker Rd Lot 47
Mesa, AZ 85206
Phone
(480) 295-5600

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-08

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 Arizona