Individual
DORATHY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 836285, RICHARDSON, TX 75083-6285
(214) 938-4814
Mailing address
519 BIRCH GROVE DR, WYLIE, TX 75098-1138
(214) 938-4814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
908042
TX
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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