Individual
EPHRAIM JOSEPH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-0000
Mailing address
512 N EVANSTON AVE APT 1, LUBBOCK, TX 79416-3917
(216) 203-3653
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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