Individual
MRS. REBECCA ANN PRIDE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT RCP
Contact information
Practice address
1517 ROSE AVE, MODESTO, CA 95355-3211
(209) 529-2163
Mailing address
1517 ROSE AVE, MODESTO, CA 95355-3211
(209) 529-2163
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
00015239
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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