Individual
MISS DOLORES LEOPOLD FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 VICTORY PKWY UNIT 1, CINCINNATI, OH 45207-1092
(615) 601-4495
Mailing address
3800 VICTORY PKWY UNIT 1, CINCINNATI, OH 45207-1092
(615) 601-4495
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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