Individual provider · NPI-1

Marcus Ray'Shawn Anderson Jr.

Homemaker · Toledo, OH

NPI number1952171647
StatusActive
Last updated in NPPESJan 4, 2024

Details

NPI
1952171647
Entity type
Individual (NPI-1)
Name
Marcus Ray'Shawn Anderson Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 4, 2024
Certification date
Jan 4, 2024
Last updated
Jan 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

5533 Glenridge Dr Apt 3
Toledo, OH 43614-1601

Phone 404-906-9377

Mailing address

5533 Glenridge Dr Apt 3
Toledo, OH 43614-1601

Phone 404-906-9377

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