Provider Demographics
NPI:1235359191
Name:ANDREATTA, YOLANDA RODRIGUEZ (RDH)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:RODRIGUEZ
Last Name:ANDREATTA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MRS
Other - First Name:YOLANDA
Other - Middle Name:RODRIGUEZ
Other - Last Name:MADRIGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:1301 PIERCE DR
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612
Mailing Address - Country:US
Mailing Address - Phone:559-298-2160
Mailing Address - Fax:
Practice Address - Street 1:310 W SHAW
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704
Practice Address - Country:US
Practice Address - Phone:559-229-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10895124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist