Individual
MARK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 EUCLID AVE, CLARKSBURG, WV 26301-4002
(304) 931-1734
Mailing address
126 EUCLID AVE, CLARKSBURG, WV 26301-4002
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
About Stedi
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