Individual provider · NPI-1
Frances Anderson
Technician, Other · Jacksonville, FL
NPI number1164878435
StatusActive
Last updated in NPPESApr 18, 2022
Details
- NPI
- 1164878435
- Entity type
- Individual (NPI-1)
- Name
- Frances Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2016
- Certification date
- Apr 18, 2022
- Last updated
- Apr 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | RBT-15-2002-26564 | FL | Yes |
Practice location
4856 Catherine TerJacksonville, FL 32205-7102
Phone 904-228-4637
Mailing address
551 Bay Hawk CtOrange Park, FL 32073-7673
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