SearchMaryland101YM0800X

Joanne Frederick

NPI 1215649926 · on the registry since 2022 · sole proprietor

Practice

Address
6905 Malachite Pl
Capitol Heights, MD 20743
Phone
(301) 257-3886

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
MD, DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland