Individual
TARESA LAVONNE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6156 STONE HOLLOW AVE, LAS VEGAS, NV 89156-4797
(702) 606-1247
Mailing address
6156 STONE HOLLOW AVE, LAS VEGAS, NV 89156-4797
(702) 606-1247
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/09/2012
Last updated
06/14/2019
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