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Individual

FREDERICK VICTOR II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
590 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 345-3491
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
692013
CA

Other

Enumeration date
05/31/2023
Last updated
05/31/2023
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