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NPI Code Detail

MEDICARE: MRS. ANDREA CHANEL WILLIAMS CUEVAS MASTERS IN EDUCATION

MEDICARE: MRS. ANDREA CHANEL WILLIAMS CUEVAS MASTERS IN EDUCATION
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
1174400000XSpecialist

General Provider Information

NPI Number : 1962842682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA CHANEL WILLIAMS CUEVAS MASTERS IN EDUCATION
Provider Business Mailing Address
First Line : 4206 CARPENTER AVE
Second Line : APT B5
City : BRONX
State : NY
Zip : 10466-2651
Country : US
Telephone Number : 404-509-8228
Fax Number :
Provider Business Practice Location Address
First Line : 4206 CARPENTER AVE
Second Line : APT B5
City : BRONX
State : NY
Zip : 10466-2651
Country : US
Telephone Number : 404-509-8228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 06/26/2013

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Directions to “ MRS. ANDREA CHANEL WILLIAMS CUEVAS MASTERS IN EDUCATION” Practice Location

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