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Organization

CARIE ALISE LEILANI ANDERSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARIE LEILANI ANDERSON FNP (PROVIDER)
(530) 321-7971
Entity
Organization

Contact information

Practice address
25761 LAWTON AVE, LOMA LINDA, CA 92354-3823
(530) 321-7971
(909) 478-7669
Mailing address
25761 LAWTON AVE, LOMA LINDA, CA 92354-3823
(530) 321-7971
(909) 478-7669

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
95005662
CA
261QP2300X
Primary Care Clinic/Center
AP60710618
WA

Other

Enumeration date
05/06/2016
Last updated
04/19/2017
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