CHARITO FEDDERSEN

VALLEJO, CA
NPI1992468409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95018906)
Enumeration Date2021-10-21
Last Update Date2021-11-02
Business Address
Mrs. CHARITO FEDDERSEN APRN
415 GEORGIA ST
VALLEJO, CA 94590-6004
Phone number: 707-556-8100
Mailing Address
Mrs. CHARITO FEDDERSEN APRN
PO BOX 22210
OAKLAND, CA 94623-2210
Phone number: