Individual
MRS. JENNIFER MARIE HAULK-FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
109 NW 1ST AVE, KELSO, WA 98626-1726
(360) 423-3132
(360) 423-1890
Mailing address
109 NW 1ST AVE, KELSO, WA 98626-1726
(360) 423-3132
(360) 423-1890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA00017762
WA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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