Mallory Frederick, B.S, C.D.C.A

NPI 1477917748 · on the registry since 2016 · sole proprietor

Practice

Address: 6434 E Main St
201
Reynoldsburg, OH 43068
Phone: (614) 762-2847
Organisation at this address: Madison 57 Investments Llc
Vision Support Network, Llc
Vision Support Network, Llc
Healingdrive Homehealth, Llc
Healingdrive Homehealth, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-03-29

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 Ohio