Justin Fredericks is a student in an organized health care education training program in Sacramento, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin Fredericks NPI is 1851162408. 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:
3090 FITE CIR STE 102
SACRAMENTO, CA
ZIP 95827-810
Phone: (916) 701-5197
Fax: (724) 648-3486
The enumeration date for this NPI number is 1/12/2024 and was last updated on 1/12/2024.