Individual
ANNALISSA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 806-0866
Mailing address
249 MILFORD CT, VACAVILLE, CA 95688-9111
(707) 718-2487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
03/10/2023
Last updated
05/31/2025
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