JUSTIN FREDERICKS

SAN DIEGO, CA
NPI1487356176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: IN  02007896A)
Enumeration Date2023-03-20
Last Update Date2024-11-25
Business Address
JUSTIN FREDERICKS DO
2841 RENDOVA RD
SAN DIEGO, CA 92155-5779
Phone number: 727-742-6825
Mailing Address
JUSTIN FREDERICKS DO
2841 RENDOVA RD
SAN DIEGO, CA 92155-5490
Phone number: 727-742-6825
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