Individual
MRS. VICTORIA HONORINE ANDERSEN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BUSINESS OWNER (CNA)
Contact information
Practice address
24386 STATE HIGHWAY RA, GOLDEN, MO 65658-8423
(417) 846-8485
Mailing address
24386 STATE HIGHWAY RA, GOLDEN, MO 65658-8423
(417) 846-8485
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
114550A
MO
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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