MR. Tracy Lee Frederick
NPI #1700125242 in Coarsegold, California
Provider Information
- NPI Number
- 1700125242
- Entity Type
- Individual
- Name
- MR. Tracy Lee Frederick
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 4, 2013
- Last Updated
- Feb 4, 2013
Practice Location
- Address
- 42830 REVIS CT
- City
- Coarsegold
- State
- California
- ZIP Code
- 93614-9637
- Phone
- (559) 676-6788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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