Individual provider · NPI-1
Moneta L Anderson
Case Manager/Care Coordinator · Portsmouth, OH
NPI number1982293767
StatusActive
Last updated in NPPESJan 15, 2021
Details
- NPI
- 1982293767
- Entity type
- Individual (NPI-1)
- Name
- Moneta L Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2021
- Certification date
- Jan 15, 2021
- Last updated
- Jan 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
902 Gallia StPortsmouth, OH 45662-4139
Phone 740-352-6136
Mailing address
902 Gallia StPortsmouth, OH 45662-4139
Phone 740-352-6136
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