Individual
BRENDA JOYCE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 NORTHWOOD DR #7105, BAYTOWN, TX 77521
(281) 628-7177
Mailing address
3120 DECKE DR #2922, BAYTOWN, TX 77520
(940) 399-4963
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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