Most Relevant Information
Provider Data
| NPI Number: | 1003453549 |
| Provider Name: | EMILY FREDA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2019 |
| Last Updated: | 12/03/2019 |
Provider Practice Location
105 HOSPITAL RD
SONORA
CA
953705227
Practice Location Phone/Fax
| Phone: | 2095336245 |
| Fax: |
Provider Mailing Location
2 S GREEN ST
SONORA
CA
953704618
Provider Mailing Phone/Fax
| Phone: | 2095336245 |
| Fax: |