Provider Demographics
NPI:1720898125
Name:ANDRADE, JUNE MARIE
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:MARIE
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUNEMARIE
Other - Middle Name:
Other - Last Name:ANDRADE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:266 S SONRISA ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-3004
Mailing Address - Country:US
Mailing Address - Phone:510-825-1799
Mailing Address - Fax:
Practice Address - Street 1:266 S SONRISA ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95391-3004
Practice Address - Country:US
Practice Address - Phone:510-825-1799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174H00000XOther Service ProvidersHealth Educator
No253Z00000XAgenciesIn Home Supportive Care