Individual
ANDRE SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(800) 201-4294
Mailing address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(800) 201-4294
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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