Provider / Organization | NPI | Date Certified |
---|---|---|
ANDREA CRAGOE | 1831773530 | 2021-05-08 |
Andrea Cragoe is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831773530. Registration indicates Andrea Cragoe is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Andrea Cragoe MD |
Practice Office Address | 11234 ANDERSON ST LOMA LINDA, CA US |
Practice Office Telephone | 9095586491 |
Mailing Address | 11234 ANDERSON STREET GME OFFICE WESTERLY SUITE 'C' LOMA LINDA, CA 923542804 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |