Individual
DR. RON J FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
355 W. THIRD AVENUE, KETTLE FALLS, WA 99141
(509) 738-2386
(509) 738-2386
Mailing address
PO BOX 788, KETTLE FALLS, WA 99141-0788
(509) 738-2386
(509) 738-2386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001742
WA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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