Johannes Wattimena
NPI #1215419668 in Moreno Valley, California
Provider Information
- NPI Number
- 1215419668
- Entity Type
- Individual
- Name
- Johannes Wattimena
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 2, 2018
- Last Updated
- Sep 26, 2018
Practice Location
- Address
- 26624 SAFFRON CIRCLE
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92555
- Phone
- (951) 485-0423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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