person
Justin Fredericks
Student in an Organized Health Care Education/Training Program in Sacramento, California
NPI 1851162408

Justin Fredericks is a Student in an Organized Health Care Education/Training Program based in Sacramento, CA. Justin Fredericks practices in Sacramento, CA. The NPI Number for Justin Fredericks is 1851162408 and holds a License No. (California).

The current practice location address for Justin Fredericks is 3090 Fite Cir Ste 102, Sacramento, CA and can be reached out via phone at 916-701-5197 and via fax at 724-648-3486.

Location: 3090 Fite Cir Ste 102, Sacramento, CA, 95828-4337
person
Provider Profile Details
NPI Number
1851162408
Provider Name
Justin Fredericks
Credential
Provider Entity Type
Individual
Gender
Male
Address
3090 Fite Cir Ste 102, Sacramento, CA, 95828-4337
Phone Number
916-701-5197
Fax Number
724-648-3486
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3090 Fite Cir Ste 102
City
State
Zip
95827-1810
Phone Number
916-701-5197
Fax Number
724-648-3486
person
Provider Business Mailing Address Details
Address
3090 Fite Cir Ste 102
City
State
Zip
95827-1810
Phone Number
916-701-5197
Fax Number
724-648-3486
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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