Individual
MR. ERIC STEVEN FREUDENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
4776 E GUADALUPE RD APT 2044, GILBERT, AZ 85234-7590
(904) 574-7566
Mailing address
4776 E GUADALUPE RD APT 2044, GILBERT, AZ 85234-7590
(904) 574-7566
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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