Individual
DEBRA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22506 230TH ST, MILFORD, IA 51351-7107
(712) 331-4132
Mailing address
22506 230TH ST, MILFORD, IA 51351-7107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P53249
IA
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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