Individual
MR. FREDERICK DEWITT TURNBULL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
746 BROOKHAVEN DR, PARADISE, CA 95969-3814
(530) 877-3535
Mailing address
746 BROOKHAVEN DR, PARADISE, CA 95969-3814
(530) 877-3535
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150726
LVN LIC #
CA
01
—
C6650
USPA LIC#
CA
05
—
EPS017000
—
CA
01
—
M0964855
CALIF DMV LIC. #
CA
05
—
RVN005110
—
CA
Enumeration date
06/29/2007
Last updated
07/09/2007
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