Individual
ANDY PHETSEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0900
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 737-4669
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
12/18/2013
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