Individual
ANDREA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
262 N LOS ROBLES AVE, APT 328, PASADENA, CA 91101-1533
(614) 638-9412
Mailing address
262 N LOS ROBLES AVE, APT 328, PASADENA, CA 91101-1533
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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