Individual
MR. DOUGLAS RYAN FREDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC, FNP-C
Contact information
Practice address
1212 S MAIN ST, SALINAS, CA 93901-2260
(831) 422-7777
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 242-8394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95026950
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95026950
CA
Other
Enumeration date
12/13/2023
Last updated
01/04/2024
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