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1902402506
TONYA JEANNETTE WATERS
RANCHO CUCAMONGA, CA
NPI
1902402506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95016200)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
TONYA JEANNETTE WATERS
9660 HAVEN AVE STE 203
RANCHO CUCAMONGA, CA 91730
Phone number: 951-813-0571
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Mailing Address
TONYA JEANNETTE WATERS
9660 HAVEN AVE STE 203
RANCHO CUCAMONGA, CA 91730-5897
Phone number:
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