Individual
EDWARD JOHN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., DIPL. OM
Contact information
Practice address
651 FAIRMOUNT AVE, OAKLAND, CA 94611-5056
(917) 226-0777
Mailing address
651 FAIRMOUNT AVE, OAKLAND, CA 94611-5056
(917) 226-0777
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16398
CA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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