Individual
ANDREA ICAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SOUTHGATE AVE FL 2, DALY CITY, CA 94015-1413
(650) 758-5363
Mailing address
15 SOUTHGATE AVE FL 2, DALY CITY, CA 94015-1413
(650) 758-5363
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3634
CA
Other
Enumeration date
08/27/2021
Last updated
02/11/2022
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