Individual
MARIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 ALICE AVE APT 101, FOREST HEIGHTS, MD 20745-3511
(240) 425-7650
Mailing address
2113 ALICE AVE APT 101, FOREST HEIGHTS, MD 20745-3511
(240) 425-7650
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10006353900
—
MD
Enumeration date
01/25/2023
Last updated
01/25/2023
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