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Individual

CHARLENE MARY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 E WASHINGTON AVE, #100, ESCONDIDO, CA 92025-1806
(760) 737-8642
(760) 737-8918
Mailing address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
(626) 577-8480
(626) 577-8978

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
461728
CA

Other

Enumeration date
04/22/2008
Last updated
04/22/2008
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