Individual
GAYLE S ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4667 BURNLEY BRANCH LN, BARBOURSVILLE, VA 22923-1810
(434) 973-5792
(434) 973-5792
Mailing address
4667 BURNLEY BRANCH LN, BARBOURSVILLE, VA 22923-1810
(434) 973-5792
(434) 973-5792
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2305002349
VA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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