Ford Frederick
Ford Frederick is a Community Health Worker in Santa Rosa, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3400 Montgomery DrSanta Rosa, CA 95405-5142
Phone: (415) 861-0828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1053080770 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 7, 2021 |
| Last updated in NPPES | September 7, 2021 |
| Certification date | September 7, 2021 |
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