Individual
DARRELL WAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 574-3364
Mailing address
33922 LA SERENA DR, DANA POINT, CA 92629-2255
(949) 294-4957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95265676
CA
Other
Enumeration date
01/12/2022
Last updated
07/24/2025
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