MR. TRACY LEE FREDERICK NPI 1700125242

NPI Information

MR. Tracy Lee Frederick is a durable medical equipment medical supplies in Coarsegold, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MR. Tracy Lee Frederick NPI is 1700125242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

42830 REVIS CT
COARSEGOLD, CA
ZIP 93614-637
Phone: (559) 676-6788

The enumeration date for this NPI number is 2/4/2013 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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