Individual
ANDREW SCOTT CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
532 SANTA RITA PL, BANNING, CA 92220-1948
(951) 797-3166
Mailing address
532 SANTA RITA PL, BANNING, CA 92220-1948
(951) 797-3166
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
684904
CA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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