Individual
ANNALIESE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 VIA CRUZ, OCEANSIDE, CA 92057-8524
(830) 305-9290
Mailing address
PO BOX 686, MARION, TX 78124-0686
(830) 305-9290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
07/18/2025
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