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Mirza Andrade-Martinez

Rehabilitation Practitioner in Upland, CA. Individual provider (NPI-1).

NPI number1962086306
StatusActive
Last updated in NPPESJun 12, 2025

Details

NPI
1962086306
Entity type
Individual (NPI-1)
Name
Mrs. Mirza Andrade-Martinez
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2021
Certification date
Jun 12, 2025
Last updated
Jun 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

1425 W Foothill Blvd Ste 200
Upland, CA 91786-8015

Phone 877-527-7227

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Phone 877-527-7227

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