Individual
ANDREA LYNN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BROADWAY, SUITE 210, EL CAJON, CA 92021-7417
(619) 401-5518
(619) 401-5454
Mailing address
1000 BROADWAY, SUITE 210, EL CAJON, CA 92021-7417
(619) 401-5518
(619) 401-5454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/27/2011
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