Individual
MS. SAULVIJA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
734 W KILGORE RD, APT#301, KALAMAZOO, MI 49008
(414) 403-3676
Mailing address
734 W KILGORE RD, APT#301, KALAMAZOO, MI 49008-3600
(414) 403-3676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33031-031
WI
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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