Individual
ANDREA CASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1051 TENNIS LN, TRACY, CA 95376-4417
(209) 809-7774
Mailing address
1051 TENNIS LN, TRACY, CA 95376-4417
(209) 809-7774
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
701307
CA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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