Individual
JOEL AANDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
14 ELBA CT, AMERICAN CANYON, CA 94503-1410
(510) 815-0664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18819
CA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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