MRS. Constance Andersen

NPI #1538467469 in Prescott, Arizona

Provider Information

NPI Number: 1538467469
Entity Type: Individual
Name: MRS. Constance Andersen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2011
Last Updated: Mar 1, 2011

Practice Location

Address: 440 N WASHINGTON AVE
City: Prescott
State: Arizona
ZIP Code: 86301-2642
Phone: (928) 443-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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