Individual ProviderCharlene Mary AndersonRegistered NurseNursing Service ProvidersPractice Address200 E Washington Ave, #100, Escondido, CA 92025-1806(760) 737-8642(626) 577-8480PECOS EnrollmentBased on the most recent information from CMS, provider Charlene Mary Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861666729Provider TypeIndividualFull NameAnderson, Charlene MaryGenderFemaleSole ProprietorNoEnumeration Date4/22/2008Last Updated4/22/2008Contact InformationPractice LocationPractice Address200 E Washington Ave, #100, Escondido, CA 92025-1806Phone(760) 737-8642Fax(760) 737-8918Mailing LocationMailing Address447 N El Molino Ave, Pasadena, CA 91101-1403Phone(626) 577-8480Fax(626) 577-8978Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense461728California