NPI 1295093912

Desiree Anderson, IDMT

Practitioner Independent Duty Medical Technicians Cannon Afb, NM

Practice location

Address: 208 W Casablanca Ave, Cannon Afb, NM 88103-5009
Phone: (850) 217-8587

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1295093912
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2012
Record last updated: 1 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.