FREDERICK PORRAL LOPEZ

VALLEJO, CA
NPI1972668580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  3351)
Enumeration Date2006-12-26
Last Update Date2022-03-28
Business Address
Mr. FREDERICK PORRAL LOPEZ CRNA
975 SERENO DRIVE
VALLEJO, CA 94589
Phone number: 707-651-3884
Mailing Address
Mr. FREDERICK PORRAL LOPEZ CRNA
152 DARTMOUTH PLACE
BENICIA, CA 94510
Phone number: 215-771-3968
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