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Individual

MATTHEW ANDREOLLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
2000 TRIDENT WAY, 211, SAN DIEGO, CA 92155-5599
(805) 551-7454
Mailing address
4344 W POINT LOMA BLVD, # P, SAN DIEGO, CA 92107-1183
(805) 551-7454

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2000014222
CA

Other

Enumeration date
03/29/2017
Last updated
03/29/2017
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