Individual
JAMES RAGER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95149371
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95149371
CA
Other
Enumeration date
10/04/2020
Last updated
10/05/2020
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