Provider Information for 1619244357
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Ms. FREDA AYERS
Sex: Female
NPI: 1619244357
Last Updated: 2023-03-24
Certification Date: 2023-03-24
Certification Date: 2023-03-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619244357 | ||||||||||||
| Enumeration Date | 2011-11-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 5901 E 7TH ST LONG BEACH, CA 90822-5201 United States Phone: 562-739-1980 | Fax: | ||||||||||||
| Primary Practice Address | 5901 E 7TH ST # 122 LONG BEACH, CA 90822-5201 United States Phone: 562-739-1980 | Fax: | ||||||||||||
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