Individual
MS. HELENA CULVER FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7281 DUMOSA AVE, SUITE 3, YUCCA VALLEY, CA 92284-3769
(760) 365-7546
(760) 369-3011
Mailing address
74090 EL PASEO, SUITE 103, PALM DESERT, CA 92260-4135
(760) 341-8244
(760) 369-3011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11455
CA
363AM0700X
Medical Physician Assistant
Primary
PA11455
CA
363AS0400X
Surgical Physician Assistant
PA11455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11455
MEDICAL LICENSE
CA
Enumeration date
03/06/2007
Last updated
10/05/2007
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