Individual
PRENTISS ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7285 VISTA SERENA LOOP, SANTA FE, NM 87507-3150
(206) 384-2076
Mailing address
7285 VISTA SERENA LOOP, SANTA FE, NM 87507-3150
(206) 384-2076
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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