Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andre Serita

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598431082

Andre Serita is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

3270 Kerner Blvd
San Rafael, CA 94901-4840
Phone: (415) 473-6828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1598431082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 17, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 14, 2021
Mailing address1445 Fruitdale Ave Unit 107, San Jose, CA 95128-3271

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