Individual
JESSIE A ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
137 NO. COTTONWOOD ST., SUITE 1520, WOODLAND, CA 95695
(530) 666-8630
Mailing address
YCADMH 137 N.COTTONWOOD, SUITE 1520, WOODLAND, CA 95695
(530) 666-8630
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN23796
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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