Individual
DOUGLAS FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C, FNP
Contact information
Practice address
616 16TH ST, OAKLAND, CA 94612-1205
(510) 451-1273
Mailing address
616 16TH ST, OAKLAND, CA 94612-1205
(510) 451-1273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21559
CA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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