Jack Anderson
NPI #1982254603 in Victorville, California
Provider Information
- NPI Number
- 1982254603
- Entity Type
- Individual
- Name
- Jack Anderson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 14, 2019
- Last Updated
- Sep 25, 2019
Practice Location
- Address
- 14810 LA MESA RD
- City
- Victorville
- State
- California
- ZIP Code
- 92392-8639
- Phone
- (760) 951-0510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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