Edward Alphonse Waples, RN Valid NPI

Individual provider · Psychiatric Residential Treatment Facility · Gilroy, CA

NPI

1891046983

Type

Individual (Type 1)

Primary specialty

Psychiatric Residential Treatment Facility

Specialty group

Residential Treatment Facilities

Taxonomy code

323P00000X

License number

553711 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-09-28

Last updated

2012-09-28