Individual
MS. ANDREA MASCORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CROWN POINT CIR, #100, GRASS VALLEY, CA 95945-9561
(530) 273-5440
Mailing address
245 FORESTHILL AVE, AUBURN, CA 95603-4343
(916) 865-8145
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
787310
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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