Individual
ANDY SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4860 Y ST STE 2400, SACRAMENTO, CA 95817-2307
(916) 734-6602
Mailing address
4860 Y ST STE 2400, SACRAMENTO, CA 95817-2307
(916) 734-6602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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