Individual provider · Type 1 NPI

Andrew David Wuebold

Student in an Organized Health Care Education/Training Program · Lawrenceville, GA

NPI number 1083117923 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Call (678) 209-2394 Map

Mailing address

130 Saint Charles Ave
San Francisco, CA 94132-3234

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083117923

Andrew David Wuebold's National Provider Identifier is 1083117923, issued on Mar 16, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 14, 2024.