Individual
JUSTINE R FROUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-4648
Mailing address
2425 N NEWBERRY ST APT 3102, DERBY, KS 67037-4404
(816) 877-1313
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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