Individual
ANDREA LT. REINA SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 395-7100
Mailing address
100 W WALNUT ST STE 375, PASADENA, CA 91124-0001
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/26/2022
Last updated
04/18/2023
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