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Individual

MS. CAROLINA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10504 BORREGO CREEK DR., NW, ALBUQUERQUE, NM 87114
(310) 985-3754
Mailing address
10504 BORREGO CREEK DR NW, ALBUQUERQUE, NM 87114-4483
(310) 985-3754

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN267343
CA

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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