Individual
JEUNESSE FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MERCADO ST STE 105, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122
Mailing address
1 MERCADO ST STE 105, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR0054655
CO
Other
Enumeration date
04/17/2011
Last updated
10/11/2021
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