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Frederica Nina Su, MD
Student in an Organized Health Care Education/Training Program in Colton, California
NPI 1811417173

Frederica Nina Su is a Student in an Organized Health Care Education/Training Program based in Colton, CA. Frederica Nina Su practices in Colton, CA and has the professional credentials of MD. The NPI Number for Frederica Nina Su is 1811417173 and holds a License No. (California).

The current practice location address for Frederica Nina Su is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 855-422-8029.

Location: 400 N Pepper Ave, Colton, CA, 92324-1801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811417173
Provider Name
Frederica Nina Su
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
400 N Pepper Ave, Colton, CA, 92324-1801
Phone Number
855-422-8029
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
855-422-8029
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
855-422-8029
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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