Alyssa L Fredericks

NPI #1497222681 in Polacca, Arizona

Provider Information

NPI Number
1497222681
Entity Type
Individual
Name
Alyssa L Fredericks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Oct 26, 2018
Last Updated
Oct 26, 2018

Practice Location

Address
HWY 264 MILEPOST 388
Address 2
UNIT 40
State
Arizona
ZIP Code
86042
Phone
(928) 737-0414

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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