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Jack Anderson
NPI 1982254603 · on the registry since 2019 · sole proprietor
Practice
- Address
- 14810 La Mesa Rd
Victorville, CA 92392 - Phone
- (760) 951-0510
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Attendant Care Provider
3747A0650X
- Sex
- Male
- Record last updated
- 2019-09-25
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