NPI | 1609310671 |
---|---|
Professional Name | CHASE GARRETT WATERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC186066) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC17367) |
Enumeration Date | 2016-12-11 |
Last Update Date | 2021-01-20 |