Individual
ANDREA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1064 E SAHARA AVE STE H, LAS VEGAS, NV 89104-3220
(914) 299-5762
Mailing address
1064 E SAHARA AVE STE H, LAS VEGAS, NV 89104-3220
(914) 299-5762
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-5611
NV
Other
Enumeration date
09/19/2017
Last updated
11/15/2024
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