MR. Gregory Allen Waters is a student in an organized health care education training program in Stockton, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Gregory Allen Waters NPI is 1902029960. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3601 PACIFIC AVE
STOCKTON, CA
ZIP 95211-110
Phone: (209) 946-2132
The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/8/2007.