Individual
JENNIFER LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(757) 251-0879
(984) 220-9437
Mailing address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(757) 251-0879
(984) 220-9437
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0704017275
VA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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