Individual
JOHN LEE FRERICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 MANSFIELD RD, GRAND ISLAND, NE 68803-2907
(308) 390-8228
Mailing address
1715 MANSFIELD RD, GRAND ISLAND, NE 68803-2907
(308) 390-8228
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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