Individual
CARLY ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5971 E FAIRBROOK ST, LONG BEACH, CA 90815-3269
(949) 584-7581
Mailing address
5971 E FAIRBROOK ST, LONG BEACH, CA 90815-3269
(949) 584-7581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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