Individual
JAMES DOUGLAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 RICHARDS RD, TOLEDO, OH 43607-2310
(419) 779-9603
Mailing address
120 RICHARDS RD, TOLEDO, OH 43607-2310
(419) 779-9603
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
0257660
OH
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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