Individual
CHRISTIE FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 N JACKSON ST, VIBORG, SD 57070-2001
(605) 759-8545
Mailing address
104 N JACKSON ST, VIBORG, SD 57070-2001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R035214
SD
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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