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JACQUELINE XIOMARA ANDRADE NP, FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1790379725
Individual Registrant: JACQUELINE XIOMARA ANDRADE NP, FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2040 CAMFIELD AVE COMMERCE, CA 90040-1502 US
Tel: 661-345-6575 Fax: --
Tel: 661-345-6575 Fax: --
Contact information for business:
2040 CAMFIELD AVE COMMERCE, CA 90040-1502 US
Tel: 661-345-6575 Fax: --
Tel: 661-345-6575 Fax: --
Registration Information:
NPI: 1790379725
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | 95015505 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
