Individual
FREDRIC DE PICCIOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8639 BASIN HOLLOW ROAD, MILLVILLE, CA 96062-0190
(530) 547-3631
Mailing address
PO BOX 190, MILLVILLE, CA 96062-0190
(530) 547-3631
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
G86846
CA
207P00000X
Emergency Medicine Physician
Primary
G86846
CA
Other
Enumeration date
08/10/2006
Last updated
12/11/2018
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