FREDERICK WYCOCO

SAN DIEGO, CA
NPI1609331560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95010473)
Enumeration Date2019-02-05
Last Update Date2024-10-14
Business Address
FREDERICK WYCOCO NP
446 ALTA RD # 5300
SAN DIEGO, CA 92158-0001
Phone number: 619-661-2789
Mailing Address
FREDERICK WYCOCO NP
446 ALTA RD # 5300
SAN DIEGO, CA 92158-0001
Phone number: 619-661-2789
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