Individual
ELISE FRIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
11840 FOREST LAKE DR, ROLLA, MO 65401-7382
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2011023487
MO
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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