KATIE LEE FREDERICKSON

CAMARILLO, CA
NPI1104237544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95000513)
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
Mrs. KATIE LEE FREDERICKSON FNP-BC
2438 N PONDEROSA DR C-105
CAMARILLO, CA 93010-2369
Phone number: 805-388-2068
Mailing Address
Mrs. KATIE LEE FREDERICKSON FNP-BC
2438 N PONDEROSA DR C-105
CAMARILLO, CA 93010-2369
Phone number: 805-388-2068
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