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Individual

MEGAN B ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
2051 CUSHING RD BLDG 624, NBHC NTC,, SAN DIEGO, CA 92106-6173
(619) 524-1354
Mailing address
2051 CUSHING RD BLDG 624, NBHC NTC,, SAN DIEGO, CA 92106-6173

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
10/22/2014
Last updated
11/18/2016
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