Individual
MR. DON CARL FREDRICKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK WAY, SPARKS, NV 89431-2035
(530) 646-9736
Mailing address
1275 YORK WAY, SPARKS, NV 89431-2035
(530) 646-9736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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