Amy D Fredrickson, L.M.P.

NPI #1528507357 in Des Moines, Washington

Provider Information

NPI Number
1528507357
Entity Type
Individual
Name
Amy D Fredrickson, L.M.P.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
L.M.P.
Enumeration Date
Feb 13, 2017
Last Updated
Feb 13, 2017

Practice Location

Address
1208 S 216TH ST
Address 2
APT 103D
ZIP Code
98198-8363
Phone
(907) 738-2116

Specialties & Taxonomy Codes

Specialty
Contractor

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