Most Relevant Information
Provider Data
| NPI Number: | 1003691148 |
| Provider Name: | SIERRA FREDE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2023 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
4861 DUCK CREEK RD
CINCINNATI
OH
452271421
Practice Location Phone/Fax
| Phone: | 5138322884 |
| Fax: | 5133511780 |
Provider Mailing Location
4861 DUCK CREEK RD
CINCINNATI
OH
452271421
Provider Mailing Phone/Fax
| Phone: | 5138322884 |
| Fax: | 5133511780 |