Individual
MS. JENNIFER ANN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 BROOK ST, #3, WURTSBORO, NY 12790-8231
(845) 644-4160
Mailing address
PO BOX 634, WURTSBORO, NY 12790-0634
(845) 644-4160
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
594560
NY
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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