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Individual

ANDREA MAGANA HOLBACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/07/2021
Last updated
06/02/2025
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