Individual
FREDERIC RICHARD JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1483 ALVA ST, CARPINTERIA, CA 93013-1501
(559) 762-1139
Mailing address
1483 ALVA ST, CARPINTERIA, CA 93013-1501
(805) 566-0299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425802125
STRTP
CA
Enumeration date
01/26/2020
Last updated
01/26/2020
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