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Individual

INGRID C. FREENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2720 LOW COURT, FAIRFIELD, CA 94534
(707) 427-4900
(707) 432-2533
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A118404
CA
207N00000X
Dermatology Physician
MT-189151
PA
208D00000X
General Practice Physician
7004818-1205
UT

Other

Enumeration date
07/10/2008
Last updated
11/06/2012
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