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
ZIP Code
92392-8639
Phone
(760) 951-0510

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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