Individual
FREDERICK TYRONNE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12955 OAKWOOD ST, VICTORVILLE, CA 92392-0570
(760) 983-5250
Mailing address
PO BOX 1248, VICTORVILLE, CA 92393-1248
(760) 669-0300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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