Individual
DANA GAYLE FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 E CYPRESS AVE STE B, REDDING, CA 96002-1163
(530) 223-2332
(530) 223-4721
Mailing address
1705 EL CERRITO DR, RED BLUFF, CA 96080-4055
(530) 200-6285
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
687254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
—
Enumeration date
03/21/2018
Last updated
03/21/2018
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