Provider Demographics
NPI:1033260732
Name:ANDRADE, MARIA CATARINA (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CATARINA
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
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Mailing Address - Street 1:2249 CATALINA DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-6068
Mailing Address - Country:US
Mailing Address - Phone:770-532-0101
Mailing Address - Fax:770-536-0462
Practice Address - Street 1:1077 JESSE JEWELL PKWY SW
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-6103
Practice Address - Country:US
Practice Address - Phone:770-536-3329
Practice Address - Fax:770-536-0462
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA110103313513477183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician