Individual
BIANCA C FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1840 BENTON ST, SANTA CLARA, CA 95050-5215
(408) 210-3898
(408) 423-3620
Mailing address
2428 MORAINE DR, SANTA CLARA, CA 95051-1116
(408) 219-5107
(408) 423-3620
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
487866
CA
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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