Individual
MS. JORDYN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 JAMESTOWN RD, WILLIAMSBURG, VA 23185-2326
(757) 229-9991
Mailing address
104 PLEASANT CT APT 3, NEWPORT NEWS, VA 23602-5351
(434) 906-6259
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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