Leeanna Marie Frederick
NPI #1306516158 in Mannington, West Virginia
Provider Information
- NPI Number
- 1306516158
- Entity Type
- Individual
- Name
- Leeanna Marie Frederick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 14, 2021
- Last Updated
- Sep 14, 2021
Practice Location
- Address
- 125 THORNE CAMP RD
- City
- Mannington
- State
- West Virginia
- ZIP Code
- 26582-8205
- Phone
- (304) 986-1661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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