Individual
MRS. ADA IOLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 HARRY S TRUMAN PKWY, SUITE 231, MS 3103, ANNAPOLIS, MD 21401-7042
(410) 222-7108
(410) 222-7231
Mailing address
8654 HEAD HARBOUR, PASADENA, MD 21122-6509
(410) 437-4688
(410) 222-7231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP09365
MD
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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