Jack Anderson
Jack Anderson is an Attendant Care Provider in Victorville, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
14810 La Mesa RdVictorville, CA 92392-8639
Phone: (760) 951-0510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1982254603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2019 |
| Last updated in NPPES | September 25, 2019 |
| Mailing address | 14810 La Mesa Rd, Victorville, CA 92392-8639 |
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