Individual
BRIANNA LIZETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 INDIANA CT, FAIRFIELD, CA 94535-1242
(510) 921-6749
Mailing address
102 INDIANA CT, FAIRFIELD, CA 94535-1242
(510) 921-6749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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