Individual
DESMOND K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-6454
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-6454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61261279
WA
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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