Individual
MRS. RAQUEL LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 672-6940
Mailing address
3960 W MCMILLAN RD, N MUSKEGON, MI 49445-8671
(231) 766-0909
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA 12629
FL
Other
Enumeration date
01/13/2008
Last updated
01/13/2008
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