Individual
ANDREA PAOLA PASSALACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
886 W FOOTHILL BLVD STE G, UPLAND, CA 91786-3780
(909) 949-6500
(909) 946-1133
Mailing address
886 W FOOTHILL BLVD STE G, UPLAND, CA 91786-3780
(909) 949-6500
(909) 946-1133
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
20A8985
CA
Other
Enumeration date
06/19/2008
Last updated
07/02/2008
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