Individual
CICILY FREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
649 E ALBERTONI ST, CARSON, CA 90746-1538
(310) 436-9300
Mailing address
23123 PETROLEUM AVE, TORRANCE, CA 90502-2833
(323) 828-9634
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
259416
CA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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