Individual
HEATHER ALLISON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
1721 TAUSSIG BLVD, JASON DUNHAM DDG 109 NAVAL STATION NORFOLK,, NORFOLK, VA 23511-2899
(858) 663-7138
Mailing address
1721 LAKE CHRISTOPHER DR, VIRGINIA BEACH, VA 23464-7901
(858) 663-7138
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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