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Search › Missouri › 183500000X

Taylor Fredrick

NPI 1891466504 · on the registry since 2021 · sole proprietor

Practice

Address
3315 S Campbell Ave
Springfield, MO 65807
Phone
(417) 881-6750
Organisation at this address
Regional Services
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-22

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 Missouri