Healthcare Provider Details

I. General information

NPI: 1497468433
Provider Name (Legal Business Name): ANDREA MARIE SNELLEN ELECTROLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 WEBSTER ST
MONTEREY CA
93940-3228
US

IV. Provider business mailing address

395 DEL MONTE CTR # 206
MONTEREY CA
93940-6156
US

V. Phone/Fax

Practice location:
  • Phone: 831-760-5833
  • Fax:
Mailing address:
  • Phone: 707-382-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberL9773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: