Individual
MR. ROBERT JEFFREY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
138 PELICAN COVE DR, ROCKWALL, TX 75087-4634
(903) 486-1393
Mailing address
138 PELICAN COVE DR, ROCKWALL, TX 75087-4634
(903) 486-1393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5209925
FL
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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