Individual
ANDREA TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 PINEHURST RD, 750 RIDGECREST RD, CANYON, CA 94516
(925) 708-1827
Mailing address
99 PINEHURST RD, POB 36, CANYON, CA 94516-9800
(925) 708-1827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
59127
CA
374J00000X
Doula
Primary
10780
CA
Other
Enumeration date
10/06/2015
Last updated
10/16/2015
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