Individual
TAYLOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 CENTER AVE STE 105, KODIAK, AK 99615-6393
(907) 942-9222
Mailing address
529 CARROLL WAY APT B8, KODIAK, AK 99615-6999
(907) 942-9222
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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