Individual
KRYSTLE C FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1014 JUNELL STREET #A, HOUSTON, TX 77088
(732) 801-5220
Mailing address
1014 JUNELL STREET #A, HOUSTON, TX 77088
(732) 801-5220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1014279
TX
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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