Individual
CAMILLE FREDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1551 PROFESSIONAL LN, LONGMONT, CO 80501-6972
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0007533
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0007533
CO
Other
Enumeration date
11/02/2022
Last updated
01/12/2023
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