Individual
KIARA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
381 MARSH DR, LAVON, TX 75166-2098
(501) 779-7174
Mailing address
381 MARSH DR, LAVON, TX 75166-2098
(501) 779-7174
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TX
Other
Enumeration date
07/16/2019
Last updated
03/11/2026
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