Individual
INGRID RAMONA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 BURTON MESA BLVD STE B, LOMPOC, CA 93436-1400
(805) 733-4542
(805) 733-4392
Mailing address
191 BURTON MESA BLVD STE B, LOMPOC, CA 93436-1400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5200
CA
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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