Icaza, Andrea
Icaza, Andrea is an sole proprietor health care provider with primary practice located at 15 Southgate Ave Fl 2 , Daly City CA 94015-1413. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Icaza, Andrea can be contacted via phone (650) 758-5363.Contact Information
Primary practice address
15 Southgate Ave Fl 2
Daly City CA 94015-1413
Phone: (650) 758-5363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 3634 | California |
Profile Details
| NPI number | 1922775709 |
|---|---|
| LBN Legal business name | Icaza, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2021 |
| Last updated | Feb 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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