JUSTIN FREDERICKS

SACRAMENTO, CA
NPI1851162408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-01-12
Last Update Date2024-01-12
Business Address
JUSTIN FREDERICKS
3090 FITE CIR STE 102
SACRAMENTO, CA 95827-1810
Phone number: 916-701-5197
Mailing Address
JUSTIN FREDERICKS
7609 MCTAVISH CIR
SACRAMENTO, CA 95828-4337
Phone number: 707-564-8020