Individual
HAILEY ANN FREDRIKSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(238) 768-8166
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(238) 768-8166
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
10/06/2023
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