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Individual

ASIA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1968 W ADAMS BLVD, LOS ANGELES, CA 90018-3515
(310) 553-2695
Mailing address
12217 DEFIANCE AVE, LOS ANGELES, CA 90059-3041
(310) 946-5730

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5683
CA

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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