Individual
FREESIA VICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 W 226TH ST APT 75, TORRANCE, CA 90505-2358
(951) 207-9914
Mailing address
3950 W 226TH ST APT 75, TORRANCE, CA 90505-2358
(951) 207-9914
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
730790
CA
225700000X
Massage Therapist
46059
CA
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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