NPI 1417426206

Jeanette Marie Waters

Practitioner Respite Care Opp, AL

Practice location

Address: 302 Overhill Rd, Opp, AL 36467-1726
Phone: (334) 400-2932

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 2-058457 (AL)

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Registry record

NPI: 1417426206
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2018
Record last updated: 21 Nov 2018

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.