Individual
BRIDGETTE TSEKANI FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. SOCIOLOGY
Contact information
Practice address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
Mailing address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951661683
MEDI-CAL
—
Enumeration date
09/03/2019
Last updated
09/03/2019
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