Individual
JASON ANDAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2121
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2121
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
06/02/2025
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