Individual
ANDRES JAVIER LASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT123317
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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