Individual provider · Type 1 NPI

Johnalice Waters

Community Health Registered Nurse · Fairfield, CA

NPI number 1194190827 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X769637 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1194190827

Johnalice Waters's National Provider Identifier is 1194190827, issued on Dec 7, 2015. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fairfield, CA. The record was last updated on Dec 7, 2015.