Individual
DITINA JADE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CHT, RM
Contact information
Practice address
6730 E MCDOWELL RD STE 139, SCOTTSDALE, AZ 85257-3135
(602) 931-7817
Mailing address
6730 E MCDOWELL RD STE 139, SCOTTSDALE, AZ 85257-3135
(602) 931-7817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-07881
AZ
Other
Enumeration date
12/17/2008
Last updated
04/09/2020
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