MICHAEL FREDERIKSEN

101YA0400X specializing in community health worker in Stockton, California

NPI: 1609419951

Provider Type

1

Practice Locations

Mailing Location

1212 N CALIFORNIA ST

STOCKTON, CA 95202

📞 2094688700

Practice Location

500 W HOSPITAL RD

FRENCH CAMP, CA 95231

📞 2094686857

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:10/18/2019
Last Updated:5/20/2024

Credentials

Primary Credential:101YA0400X