Individual
KACIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15946 VANOWEN ST UNIT 202, VAN NUYS, CA 91406-4961
(323) 842-3884
Mailing address
15946 VANOWEN ST UNIT 202, VAN NUYS, CA 91406-4961
(323) 842-3884
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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