Individual
MS. MARY L FREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSTCFA
Contact information
Practice address
3615 5TH ST, SUITE 101, RAPID CITY, SD 57701-6014
(605) 343-7208
(605) 343-7132
Mailing address
3615 5TH ST, SUITE 101, RAPID CITY, SD 57701-6014
(605) 343-7208
(605) 343-7132
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
40351
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40351
NATIONAL CERTIFICATION
—
Enumeration date
03/27/2007
Last updated
07/08/2007
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