Individual
FREDERICK WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-4930
Mailing address
2400 MABRY DR, SACRAMENTO, CA 95835-1513
(916) 802-1579
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN284735
CA
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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