Individual
MRS. MARY FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24841 TERRA DEL MAR DR, NOVI, MI 48374-2530
(248) 761-9053
Mailing address
24841 TERRA DEL MAR DR, NOVI, MI 48374-2530
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704201038
MI
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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