Individual
MR. FREDERICK MARVIN CARDINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2574
Mailing address
1318 LAKE VIEW DR, COLFAX, CA 95713-9760
(530) 637-4671
(530) 637-4581
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN3525610
—
CA
Enumeration date
12/14/2006
Last updated
07/08/2007
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