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Vanilla Anderson
NPI 1235613761 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10850 S Us Highway 1 Ste 2
Port Saint Lucie, FL 34952 - Phone
- (772) 463-0444
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-20
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 Florida