Judy Campbell Fredrickson, LMP

NPI #1417267808 in Newport, Washington

Provider Information

NPI Number: 1417267808
Entity Type: Individual
Name: Judy Campbell Fredrickson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Oct 19, 2010
Last Updated: Oct 19, 2010

Practice Location

Address: 812 FIRST ST
City: Newport
State: Washington
ZIP Code: 99156-9787
Phone: (509) 671-7035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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