Individual
AMANDA N FREDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Mailing address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01108
RI
Other
Enumeration date
03/15/2019
Last updated
01/30/2020
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