Individual
MARCIE FRAZIER-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2768 PARK PL, GRAND PRAIRIE, TX 75052-8582
(214) 830-7554
Mailing address
2768 PARK PL, GRAND PRAIRIE, TX 75052-8582
(214) 830-7554
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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