Individual
MR. ANDREW DAVID SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 MARY ST, SAN RAFAEL, CA 94901-3507
(415) 473-2856
Mailing address
709 5TH AVE, SAN RAFAEL, CA 94901-3202
(415) 690-8752
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
09/28/2022
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