Search › California › 332B00000X
Tracy Frederick
NPI 1700125242 · on the registry since 2013 · sole proprietor
Practice
- Address
- 42830 Revis Ct
Coarsegold, CA 93614 - Phone
- (559) 676-6788
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-04
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 California