SearchCalifornia101YA0400X

Mindi Anderson, CAADE CATC III

NPI 1841710282 · on the registry since 2017 · sole proprietor

Practice

Address
856 N Sacramento St Ste H
Lodi, CA 95240
Phone
(209) 367-5433
Organisation at this address
Life Line Centers Of California Inc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 19690 N Highway 99 Unit 162, Acampo, CA
  • 104 N School St Ste 308, Lodi, CA

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
101YP2500X
374K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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