Individual
MR. CORTLAND WILLIAM ANDERSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHP
Contact information
Practice address
1792 W WASHINGTON ST, SAN DIEGO, CA 92103-3766
(323) 821-7594
Mailing address
4359 30TH ST, SAN DIEGO, CA 92104-1313
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
56073
CA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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