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Michael David Anderson

Community Health Worker in Bakersfield, CA. Individual provider (NPI-1).

NPI number1447746151
StatusActive
Last updated in NPPESDec 25, 2024

Details

NPI
1447746151
Entity type
Individual (NPI-1)
Name
Michael David Anderson
Sex
Male
Sole proprietor
No
Enumeration date
Jul 5, 2018
Certification date
Dec 25, 2024
Last updated
Dec 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

702 Workman St
Bakersfield, CA 93307-6800

Phone 661-335-7140

Mailing address

3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229

Phone 559-558-4051

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