Individual
DR. ANDREA KIMBERLY CAVALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
712 D ST, SUITE E, SAN RAFAEL, CA 94901-3709
(415) 459-1218
Mailing address
712 D ST, SUITE E, SAN RAFAEL, CA 94901-3709
(415) 459-1218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33297
CA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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