Frederick, Renae

Frederick, Renae is an individual health care provider with primary practice located at 4955 S Durango Dr Suite 207, Las Vegas NV 89113-0152. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Frederick, Renae can be contacted via phone (702) 650-6508.

Contact Information

Primary practice address
4955 S Durango Dr Suite 207 Las Vegas NV 89113-0152
Fax: (702) 893-9655
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1083904908
LBN Legal business name Frederick, Renae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Apr 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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