Individual provider · NPI-1
Cynthia Anderson
Technician, Other · San Diego, CA
NPI number1013698398
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1013698398
- Entity type
- Individual (NPI-1)
- Name
- Cynthia Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
501 W Broadway Ste 800San Diego, CA 92101-3546
Phone 845-489-5855
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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