JERALD DESHAWN WATERS

VALLEJO, CA
NPI1316732894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-04-14
Last Update Date2025-04-14
Business Address
JERALD DESHAWN WATERS
1840 CAPITOL ST
VALLEJO, CA 94590-5721
Phone number: 310-465-7667
Mailing Address
JERALD DESHAWN WATERS
1840 CAPITOL ST
VALLEJO, CA 94590-5721
Phone number: 310-465-7667
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