BREEANA LEE FREDRICKSEN

STOCKTON, CA
NPI1154140036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA  SPA8402)
Enumeration Date2024-10-07
Last Update Date2026-05-21
Business Address
BREEANA LEE FREDRICKSEN
17986 COPPEROPOLIS RD
STOCKTON, CA 95215-9717
Phone number: 208-993-3469
Mailing Address
BREEANA LEE FREDRICKSEN
17986 COPPEROPOLIS RD
STOCKTON, CA 95215-9717
Phone number: 208-993-3469
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