Individual
MIRNA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2085 RUSTIN AVE # 1, RIVERSIDE, CA 92507-2498
(951) 955-3448
Mailing address
519 E VALENCIA AVE APT E, BURBANK, CA 91501-2569
(562) 940-5745
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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