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MS. ANDREA LYNN BURSON CADC-II

>> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1902391154

Individual Registrant:
MS. ANDREA LYNN BURSON CADC-II
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-525-7422  Fax: --

Contact information for business:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-525-7422  Fax: --

Registration Information:
NPI: 1902391154
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374700000XNursing Service Related Providers
Technician
CAA022660316

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
374700000CA05




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