Individual
KEANNA ASHLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4849 FRANKFORD RD APT 4310, DALLAS, TX 75287-5315
(323) 406-0418
Mailing address
4849 FRANKFORD RD APT 4310, DALLAS, TX 75287-5315
(323) 406-0418
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342674
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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