Individual
ARTHERLENE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4540 KANSAS ST APT 2, SAN DIEGO, CA 92116-4210
(619) 615-0439
Mailing address
4540 KANSAS ST APT 2, SAN DIEGO, CA 92116-4210
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
550101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550101
LVN
CA
Enumeration date
03/31/2008
Last updated
03/31/2008
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