PHAN TASCO ANDERSON

KATHLEEN, GA
NPI1265570105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  1457)
Enumeration Date2007-02-02
Last Update Date2012-01-18
Business Address
-- PHAN TASCO ANDERSON PA
203 GREYTHORNE DR
KATHLEEN, GA 31047-5304
Phone number: 719-337-9392
Mailing Address
-- PHAN TASCO ANDERSON PA
203 GREYTHORNE DR
KATHLEEN, GA 31047-5304
Phone number: 719-337-9392