Individual
ANDREA MARIA COMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2814 S 108TH ST, MILWAUKEE, WI 53227-3224
(414) 885-3525
Mailing address
11910 MYRTLE ROCK DR, RIVERVIEW, FL 33578-3142
(813) 401-5055
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
9297974
FL
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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