Individual
AUSTIN J FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W SAN JOSE AVE, FRESNO, CA 93704-2634
(415) 629-0500
Mailing address
355 W SAN JOSE AVE, FRESNO, CA 93704-2634
(415) 629-0500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95020000
CA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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