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Alyssa Fredericks
NPI 1497222681 · on the registry since 2018 · sole proprietor
Practice
- Address
- Hwy 264 Milepost 388
Unit 40
Polacca, AZ 86042 - Phone
- (928) 737-0414
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-26
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 Arizona