Individual
MRS. CHRISTINE B ANDEREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 MARVIN RD SE, SUITE 112, LACEY, WA 98503-6100
(360) 357-8822
(360) 413-1502
Mailing address
130 MARVIN RD SE, SUITE 112, LACEY, WA 98503-6100
(360) 357-8822
(360) 413-1502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8394975
—
WA
Enumeration date
06/15/2006
Last updated
03/09/2015
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