Individual
DANIELLE ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8632
(760) 863-8631
Mailing address
57475 LUPINE DR APT 6, YUCCA VALLEY, CA 92284-3880
(760) 282-1184
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAFPET072117-1
CO
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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