Individual
MS. SARAH J FREDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1406 HOLIDAY DRIVE, JANESVILLE, WI 53545
(608) 718-9185
Mailing address
1406 HOLIDAY DR, JANESVILLE, WI 53545-0406
(608) 718-9185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302-45-31
WI
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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