JEFFRIE GLENN WATERS

ATWATER, CA
NPI1821426859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  9195)
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
Mr. JEFFRIE GLENN WATERS PTA
1685 SHAFFER RD
ATWATER, CA 95301-4456
Phone number: 209-357-3420
Mailing Address
Mr. JEFFRIE GLENN WATERS PTA
1100 PEDRAS RD APT E203
TURLOCK, CA 95382-2347
Phone number:
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