Individual
DR. ANNE RANDOLPH VAN DE WATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31096 FLYING CLOUD DR, LAGUNA NIGUEL, CA 92677-2714
(949) 487-7262
Mailing address
PO BOX 6297, LAGUNA NIGUEL, CA 92607-6297
(949) 487-7262
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G38375
CA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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