Individual
MR. FRED DOUGLAS SPENCER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 10TH AVE, MERIDIAN, MS 39305-4822
(601) 692-8278
Mailing address
2601 10TH AVE, MERIDIAN, MS 39305-4822
(601) 692-8278
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
MS
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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