Individual
ANITA ANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11705 SLATE AVE., #200, RIVERSIDE, CA 92505
(951) 351-1346
(951) 359-3748
Mailing address
11705 SLATE AVE., #200, RIVERSIDE, CA 92505
(951) 351-1346
(951) 359-3748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A105552
CA
Other
Enumeration date
07/13/2007
Last updated
11/11/2010
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