MR. David Layne Frederick JR., IDMT

NPI #1821334244 in Seymour Johnson a F B, North Carolina

Provider Information

NPI Number
1821334244
Entity Type
Individual
Name
MR. David Layne Frederick JR., IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Dec 13, 2012
Last Updated
Dec 13, 2012

Practice Location

Address
1050 JABARRAH AVE
ZIP Code
27531-2310
Phone
(919) 722-1522

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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