NICHOLAS R FREDRICKS

JACKSON, WY
NPI1447084959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: WY  47072)
Enumeration Date2024-08-27
Last Update Date2024-08-27
Business Address
NICHOLAS R FREDRICKS
555 E BROADWAY AVE STE 218
JACKSON, WY 83001-8640
Phone number: 307-739-4818
Mailing Address
NICHOLAS R FREDRICKS
PO BOX 7005
JACKSON, WY 83002-7005
Phone number:
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