Provider Information for 1104564335
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ANNE LOUISE FOX
Sex: Female
NPI: 1104564335
Last Updated: 2022-05-26
Certification Date: 2022-05-26
Certification Date: 2022-05-26
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1104564335 | ||||||||||||||
| Enumeration Date | 2022-05-26 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 7725 PACIFIC CIR MIDWAY CITY, CA 92655-1415 United States Phone: 714-791-8200 | Fax: | ||||||||||||||
| Primary Practice Address | 7725 PACIFIC CIR MIDWAY CITY, CA 92655-1415 United States Phone: 714-791-8200 | Fax: | ||||||||||||||
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