Individual
MS. PAIGE ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13690 E 14TH ST STE 230, SAN LEANDRO, CA 94578-2584
(510) 614-9200
Mailing address
13690 E 14TH ST STE 230, SAN LEANDRO, CA 94578-2584
(510) 614-9200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA55685
CA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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