Individual
EVANGELINE DANETTE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 NEWBURY ST, TOLEDO, OH 43609-3141
(419) 250-4093
Mailing address
1103 NEWBURY ST, TOLEDO, OH 43609-3141
(419) 250-4093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 132749
OH
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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