Individual
ANDRIES REENALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2148
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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