Individual
DR. ANDREA Y VIDAURRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12062 VALLEY VIEW ST, SUITE 133, GARDEN GROVE, CA 92845-1737
(714) 906-3933
(714) 892-9171
Mailing address
12062 VALLEY VIEW ST, SUITE 133, GARDEN GROVE, CA 92845-1737
(714) 906-3933
(714) 892-9171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32647
CA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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