Individual
TAMMY L FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3050
(303) 440-3170
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3050
(303) 440-3170
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
503
CO
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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