Individual
MS. DEBORAH LISA FREDELL-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1441 CONSTITUTION BLVD STE 16, SALINAS, CA 93906-3100
(480) 209-9063
Mailing address
1615 BUNKER HILL WAY 100, SALINAS, CA 93906-6010
(831) 796-1385
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
22943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87703041
—
CO
Enumeration date
12/14/2006
Last updated
07/11/2019
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