Individual
DR. ELIDGE DEMETE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
272 E 69TH WAY, LONG BEACH, CA 90805-1240
(757) 282-8111
Mailing address
PO BOX 7101, LONG BEACH, CA 90807-0101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34751
CA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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