Individual
MR. FREDRICK R. ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 352-9890
(510) 352-9891
Mailing address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 352-9890
(510) 352-9981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
719771
CA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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