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Kevin Anderson
Student in an Organized Health Care Education/Training Program in Azusa, California
NPI 1558864843

Kevin Anderson is a Student in an Organized Health Care Education/Training Program based in San Dimas, CA. Kevin Anderson practices in Azusa, CA. The NPI Number for Kevin Anderson is 1558864843 and holds a License No. (California).

The current practice location address for Kevin Anderson is 901 E Alosta Ave, Azusa, CA and can be reached out via phone at 626-969-3434. You can also correspond with Kevin Anderson through the mailing address at 301 N SAN DIMAS CANYON RD, SAN DIMAS, CA - 91773-2741 (mailing address contact number: ).

Location: 901 E Alosta Ave, Azusa, CA, 91773-2741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558864843
Provider Name
Kevin Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 E Alosta Ave, Azusa, CA, 91773-2741
Phone Number
626-969-3434
Fax Number
Provider Enumeration Date
03/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 E Alosta Ave
City
Azusa
State
California
Zip
91702-2701
Phone Number
626-969-3434
Fax Number
person
Provider Business Mailing Address Details
Address
901 E Alosta Ave
City
Azusa
State
California
Zip
91702-2701
Phone Number
626-969-3434
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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