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Individual

MISS SOYINI FRASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 494-4897
Mailing address
1508 MCDUFF AVE S APT 7, JACKSONVILLE, FL 32205-8150

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
143052
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
143052
FL
367500000X
Certified Registered Nurse Anesthetist
73189
NM

Other

Enumeration date
02/23/2023
Last updated
12/13/2024
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