Individual
GUILLERMO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6820 S KINGS RANCH RD, STE 130, GOLD CANYON, AZ 85118-2935
(480) 982-3691
Mailing address
6820 S KINGS RANCH RD, STE 130, GOLD CANYON, AZ 85118-2935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5606
AZ
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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