RUSSELL C WATERS

LOS ANGELES, CA
NPI1033035050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2026-06-24
Last Update Date2026-06-24
Business Address
Mr. RUSSELL C WATERS
1737 W 60TH ST # 2
LOS ANGELES, CA 90047-1112
Phone number: 562-536-7397
Mailing Address
Mr. RUSSELL C WATERS
1737 W 60TH ST # 2
LOS ANGELES, CA 90047-1112
Phone number: 562-536-7397