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Individual

DR. ANDREA E PROST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
103 MAR VISTA DR, APTOS, CA 95003-3502
(408) 687-5044
(831) 612-1859
Mailing address
103 MAR VISTA DR, APTOS, CA 95003-3502
(408) 687-5044
(831) 612-1859

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
DC27844
CA

Other

Enumeration date
02/02/2012
Last updated
02/02/2012
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