Individual
MS. ALEXIS FAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
124 MAIN ST., MEDFORD, WI 54445
(715) 748-5435
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401
(715) 748-5435
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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