Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACY LEE FREDERICK
Active Sole ProprietorMR. TRACY LEE FREDERICK is a Durable Medical Equipment & Medical Supplies healthcare provider located in COARSEGOLD, California. NPI 1700125242 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · COARSEGOLD, CA
Registration Details
- NPI Number
- 1700125242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2013 (13.516707867008 yrs)
- Last Updated
- Feb 4, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
42830 REVIS CTCOARSEGOLD, CA, 936149637Browse CA providers · Browse ZIP 93614
- Phone
- 5596766788
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.