Individual
JAMES TODD FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4739 RAINIER AVE S, SEATTLE, WA 98118-1657
(206) 721-1827
Mailing address
8040 128TH LN SE, NEWCASTLE, WA 98056-1798
(425) 227-6575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2971
WA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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