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Bavette Anderson
NPI 1548642614 · on the registry since 2015 · sole proprietor
Practice
- Address
- 611 W 45th St
Los Angeles, CA 90037 - Phone
- (310) 925-6016
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California