Individual
ANDRIA RETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 E. TELEGRAPH RD, SANTA FE SPRINGS, CA 90670
(562) 949-8455
Mailing address
11721 E. TELEGRAPH ROAD, SANTA FE SPRINGS, CA 90670-3675
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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