Individual
FREDRICKA GOOSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6105
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
750996
CA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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