Individual
MRS. ANDREA NICOLE ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24785 STEWART ST, LOMA LINDA, CA 92350-1721
(909) 558-7295
Mailing address
35213 DATE AVE APT B, YUCAIPA, CA 92399-3130
(909) 380-3582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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