Individual
JENNIE FREDERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8910 MIRAMAR PKWY STE 200, MIRAMAR, FL 33025-4963
(954) 588-9383
Mailing address
8910 MIRAMAR PKWY STE 200, MIRAMAR, FL 33025-4963
(954) 588-9383
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
214934
FL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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