Most Relevant Information
Provider Data
| NPI Number: | 1003358540 |
| Provider Name: | ALFRED FREEMAN RADT-I |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | RADT-I R76151214 |
Most Important Dates
| Enumeration Date: | 11/15/2016 |
| Last Updated: | 11/15/2016 |
Provider Practice Location
515 E 6TH ST
LOS ANGELES
CA
900211009
Practice Location Phone/Fax
| Phone: | 2136892179 |
| Fax: |
Provider Mailing Location
515 E 6TH ST
LOS ANGELES
CA
900211009
Provider Mailing Phone/Fax
| Phone: | 2136892179 |
| Fax: |