Individual
MS. IANA GABRIELA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 MAIN ST STE 208, BURLINGTON, VT 05401-5259
(802) 373-1636
Mailing address
300 LAKE ST APT 202, BURLINGTON, VT 05401-5295
(802) 373-1636
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
026.0146755
VT
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/24/2014
Last updated
08/27/2021
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