Derek Anthony Anderson

NPI #1093582090 in Mount Vernon, Washington

Provider Information

NPI Number: 1093582090
Entity Type: Individual
Name: Derek Anthony Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Dec 8, 2023
Last Updated: Dec 8, 2023

Practice Location

Address: 1315 E DIVISION ST
City: Mount Vernon
State: Washington
ZIP Code: 98274-4134
Phone: (360) 734-5410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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