Individual
ANDREA GODINEZ MAGDALENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 CHALLENGER WAY, SANTA ROSA, CA 95407-5423
(707) 565-4077
Mailing address
2255 CHALLENGER WAY, SANTA ROSA, CA 95407-5423
(707) 565-4077
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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