Individual
MRS. AMY L FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 898-5796
(337) 898-5792
Mailing address
PO BOX 220, ABBEVILLE, LA 70511-0220
(337) 898-5796
(337) 898-5792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN270234
LA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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