NPI 1396006763
Ophelia Renee Waters, CMA
Practice location
- Address
- 6568 Emmitt St, Millington, TN 38053-8267
- Phone
- (901) 873-3081
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1396006763
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jun 2012
- Record last updated
- 1 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.