Individual
MRS. SANDRA JANE FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
3755 TAYLOR RD, LOOMIS, CA 95650-9226
(916) 489-1110
Mailing address
PO BOX 349, PENRYN, CA 95663-0349
(916) 489-1110
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
067295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067295
AMERICAN BOARD OF OPTOMETRY
CA
Enumeration date
05/17/2016
Last updated
05/17/2016
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