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Tiffany Frederickson
NPI 1265669956 · on the registry since 2009 · sole proprietor
Practice
- Address
- 8412 Kitt Peak Rd
Rapid City, SD 57702 - Phone
- (515) 201-8982
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
208600000X - Licence states on file
- IA, ME, SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-15
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 South Dakota