Cera Nicole Anderson
Technician, Other in Austin, TX. Individual provider (NPI-1).
NPI number1750977310
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1750977310
- Entity type
- Individual (NPI-1)
- Name
- Cera Nicole Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2020
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
3403b Garden Villa LnAustin, TX 78704-6915
Phone 855-832-6727
Mailing address
6222 Utsa Blvd Apt 13307San Antonio, TX 78249-1692
Phone 512-757-1315
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