Andrea Magana Holback
Student in an Organized Health Care Education/Training Program in Gilroy, CA. Individual provider (NPI-1).
NPI number1043802440
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1043802440
- Entity type
- Individual (NPI-1)
- Name
- Andrea Magana Holback
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2021
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
290 Ioof AveGilroy, CA 95020-5204
Phone 408-846-2100
Mailing address
290 Ioof AveGilroy, CA 95020-5204
Phone 408-846-2100
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All 93 Student in an Organized Health Care Education/Training Program providers in Gilroy · All 2,323 providers in Gilroy
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