Individual
CASEY L FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
13630 VIA VARRA APT 223, BROOMFIELD, CO 80020-9709
(812) 582-1093
Mailing address
13630 VIA VARRA APT 223, BROOMFIELD, CO 80020-9709
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86168424
CO
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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