Individual
LEILA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 N DIVISION, SUITE B, SPOKANE, WA 99202
(509) 327-7078
Mailing address
5000 CHESHIRE LANE NORTH, PLYMOUTH, MN 55446
(888) 333-9152
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA00003450
WA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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