Provider Demographics
NPI:1922207935
Name:ANDREWS, JUDITH G (L AC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:G
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1787 MOUNTAIN HILLS PL
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4208
Mailing Address - Country:US
Mailing Address - Phone:619-886-2784
Mailing Address - Fax:760-839-9019
Practice Address - Street 1:1787 MOUNTAIN HILLS PL
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4208
Practice Address - Country:US
Practice Address - Phone:619-886-2784
Practice Address - Fax:760-839-9019
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10550171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist