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Individual

DOUGLAS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
601 BAYONET CIR, MARINA, CA 93933-4600
(831) 647-3000
Mailing address
PO BOX 222021, CARMEL, CA 93922-2021
(831) 238-3660

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
287544
CA

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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