Individual
CALEB SETH FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 MORTON AVE, DES MOINES, IA 50316-1647
(515) 263-6144
Mailing address
1500 MORTON AVE, DES MOINES, IA 50316-1647
(515) 263-6144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00607
IA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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