Mr. Tracy Lee Frederick
Mr. Tracy Lee Frederick is a Durable Medical Equipment & Medical Supplies in Coarsegold, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
42830 Revis CtCoarsegold, CA 93614-9637
Phone: (559) 676-6788
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (CA) |
|---|
Record details
| NPI number | 1700125242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2013 |
| Last updated in NPPES | February 4, 2013 |
| Mailing address | 42830 Revis Ct, Coarsegold, CA 93614-9637 |
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