Provider Information for 1295776334
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JUDITH L FRENDO M.F.T.
Sex: Female
NPI: 1295776334
Last Updated: 2024-09-12
Certification Date: 2024-09-12
Certification Date: 2024-09-12
Details
Name | Value | ||||||||
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NPI | 1295776334 | ||||||||
Enumeration Date | 2006-06-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 419 MASON ST STE 206B VACAVILLE, CA 95688-4535 United States Phone: 707-365-2831 | Fax: | ||||||||
Primary Practice Address | 419 MASON ST STE 206B VACAVILLE, CA 95688-4535 United States Phone: 707-365-2831 | Fax: | ||||||||
Secondary Practice Address(es) | 918 MERCHANT ST | ||||||||
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