Individual
SARAH FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM,REEGT,EPT
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 208-6653
(928) 680-1584
Mailing address
1990 MCCULLOCH BLVD N, D281, LAKE HAVASU CITY, AZ 86403-5749
(928) 208-6653
(928) 680-1584
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2838
AZ
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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