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Jeffery Waters
NPI 1760675607 · on the registry since 2007 · sole proprietor
Practice
- Address
- 15305 Rayen St
North Hills, CA 91343 - Phone
- (818) 402-3324
- Organisation at this address
- Penny Lane Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 308
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California