Individual
TANYA HINTZ FREDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5290 S POWER RD, GILBERT, AZ 85295-8478
(480) 988-9287
(480) 988-9769
Mailing address
5290 S POWER RD, GILBERT, AZ 85295-8478
(480) 988-9287
(480) 988-9769
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3202
AZ
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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