Individual
MISS CALLIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 564-4331
Mailing address
4515 AUGUST ST, #8, LOS ANGELES, CA 90008-1505
(323) 294-3879
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
V115391
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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