Desiree Fredericks
Desiree Fredericks is a Prosthetist in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2018.
- Licensed in
- WA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
723 Martin Luther King Jr WayTacoma, WA 98405-4139
Phone: (253) 383-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence 952667855 (WA) |
|---|---|
| Prosthetist | Taxonomy 224P00000X |
Record details
| NPI number | 1700365152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 7, 2018 |
| Last updated in NPPES | August 7, 2018 |
| Mailing address | 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139 |
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