Individual
BIANCA DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 ROSEMEAD BLVD STE 100, EL MONTE, CA 91731-2830
(626) 227-7001
Mailing address
3208 ROSEMEAD BLVD STE 100, EL MONTE, CA 91731-2830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225400000X
Rehabilitation Practitioner
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2016
Last updated
08/05/2021
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