Individual
ANDREW HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 895-5502
(510) 895-7407
Mailing address
2554 E 16TH ST APT 23, OAKLAND, CA 94601-1661
(510) 355-7657
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703775
CA
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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