IndividualActive
Jason Waters
NPI 1174043244 · Independent Duty Corpsman · Annapolis, MD
Provider details
- NPI number
- 1174043244
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
695 Kinkaid Rd
Annapolis, MD 21402-1006
Phone: (410) 293-1764
Approximate (ZIP-level) locationGet directions
Mailing address
Marine Air Group 26
Jacksonville, NC 28545
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.