Individual
RAY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6009 FINANCIAL PLZ STE 101, SHREVEPORT, LA 71129-2615
(318) 221-2566
Mailing address
6009 FINANCIAL PLZ STE 101, SHREVEPORT, LA 71129-2615
(318) 221-2566
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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