Individual
RACHEL L FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9348 GRAND CORDERA PKWY, 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Mailing address
9348 GRAND CORDERA PKWY, SUITE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3263
CO
Other
Enumeration date
02/20/2006
Last updated
11/04/2020
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