Individual
MR. FRED GADEA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
1415 KEYSTONE DR, SAN BERNARDINO, CA 92407-5024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5403
CA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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