Individual
ALYSSA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4077 E CRAWFORD ST APT 19, MEIGS, GA 31765-4363
(904) 489-7195
Mailing address
PO BOX 364, MEIGS, GA 31765-0364
(904) 489-7195
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030024992
GA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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