Individual
MR. ANDREW VIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
461 CRATE AVE, SACRAMENTO, CA 95818-2861
(559) 553-3590
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
28211
CA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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