Individual
CAROLINE D ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
415 E HARDING WAY, SUITE D, STOCKTON, CA 95204-6118
(209) 944-5750
(209) 464-2684
Mailing address
415 E HARDING WAY, SUITE D, STOCKTON, CA 95204-6118
(209) 944-5750
(209) 464-2684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21726
CA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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