Individual
PAULA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W JOHNSON CIR, MUNCIE, IN 47304-2522
(765) 631-3511
Mailing address
3501 W JOHNSON CIR, MUNCIE, IN 47304-2522
(765) 631-3511
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
8908589126
IN
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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