Individual
RENAE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4955 S DURANGO DR, SUITE 207, LAS VEGAS, NV 89113-0152
(702) 650-6508
(702) 893-9655
Mailing address
6868 SKY POINTE DR UNIT 1028, LAS VEGAS, NV 89131-6103
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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