DEREK ANTHONY ANDERSON

MOUNT VERNON, WA
NPI1093582090
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: WA  NC61125493)
Enumeration Date2023-12-08
Last Update Date2023-12-08
Business Address
DEREK ANTHONY ANDERSON
1315 E DIVISION ST
MOUNT VERNON, WA 98274-4134
Phone number: 360-734-5410
Mailing Address
DEREK ANTHONY ANDERSON
1315 E DIVISION ST
MOUNT VERNON, WA 98274-4134
Phone number: 360-734-5410
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