Individual
ALEXIS DANIELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1311 SPRINGFIELD STREET, APT. 106, UPLAND, CA 91786
(319) 371-0262
Mailing address
1311 SPRINGFIELD STREET, APT. 106, UPLAND, CA 91786
(319) 371-0262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95236082
CA
163WC1400X
College Health Registered Nurse
95236082
CA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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