Tammy L Fredrickson

NPI 1902077589 - Audiologist - 231H00000X

NPI Details
NPI 1902077589
Gender Female
Enumeration Date 03/21/2008
Last Updated 03/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2750 BROADWAY ST
BOULDER CO, 80304-3573, US
Phone (303) 440-3050
Fax (303) 440-3170
Business Location
2750 BROADWAY ST
BOULDER CO, 80304-3573, US
Phone (303) 440-3050
Fax (303) 440-3170
Toxanomy
Taxonomy Code 231H00000X
License State Colorado
License Number 503
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According to our database, Tammy L Fredrickson NPI is 1902077589, taxonomy code is 231H00000X and license number is 503, license state is located at Colorado. Tammy L Fredrickson physically located at 2750 Broadway St, Boulder CO, 80304-3573. NPI Number Tammy L Fredrickson has the Individual type.

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1902077589 NPI number is provided on an as is basis without warranty of any kind. 1902077589 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy L Fredrickson are for informational purposes only.