Provider Information for 1720412612
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ANDREW ENRIGHT M.A.
Sex: Male
NPI: 1720412612
Last Updated: 2024-07-17
Certification Date: 2024-07-17
Certification Date: 2024-07-17
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1720412612 | ||||||||||||||
| Enumeration Date | 2013-08-27 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 7245 E SOUTHGATE DR SACRAMENTO, CA 95823-2620 United States Phone: 916-427-7141 | Fax: | ||||||||||||||
| Primary Practice Address | 4620 SEA CLIFF RD ROSEVILLE, CA 95747-4526 United States Phone: 916-541-6150 | Fax: | ||||||||||||||
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