Individual
JAMIE FREDERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 BOULDER AVE, HELENA, MT 59601-3509
(406) 581-3469
Mailing address
1015 BOULDER AVE, HELENA, MT 59601-3509
(406) 581-3469
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
462
MT
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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