FRED SLY

UKIAH, CA
NPI1023225844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172A00000X Driver
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- FRED SLY
860 N BUSH ST
UKIAH, CA 95482-3919
Phone number: 707-463-4396
Mailing Address
-- FRED SLY
860 N BUSH ST
UKIAH, CA 95482-3919
Phone number:
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