Individual
AMY MARIKO ANDERSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
245 N MURRAY ST, BANNING, CA 92220-5528
(951) 849-8812
(951) 755-8915
Mailing address
245 N MURRAY ST, BANNING, CA 92220-5528
(951) 849-8812
(951) 755-8915
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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