Individual
MR. CHUCK ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
COMMANDING OFFICER 5 CALLE LA PUNTILLA, USCG SECTOR SAN JUAN, SAN JUAN, PR 00901
(787) 729-2305
Mailing address
B20 CALLE 5, SANTA ANNA AVE, GUAYNABO, PR 00969-6608
(787) 729-2305
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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