Jordan Fredrickson
Jordan Fredrickson is an Other Technician in Grover, Missouri. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2825 Westridge Oaks CtGrover, MO 63040-1130
Phone: (314) 706-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1376382267 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | 2825 Westridge Oaks Ct, Grover, MO 63040-1130 |