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NPI Code Detail

MEDICARE: MS. ANDREA FE VELA

MEDICARE: MS. ANDREA FE VELA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1700054475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANDREA FE VELA
Provider Business Mailing Address
First Line : 2420 MARTIN RD STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-8610
Country : US
Telephone Number : 707-399-4520
Fax Number : 707-399-4521
Provider Business Practice Location Address
First Line : 2420 MARTIN RD STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-8610
Country : US
Telephone Number : 707-399-4520
Fax Number : 707-399-4521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2008
Last Update Date : 10/18/2010

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Directions to “ MS. ANDREA FE VELA ” Practice Location

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