Individual
MARVA L. FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2641412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1820171895
MIAMI-DADE COUNTY HEALTH DEPARTMENT - NPI
FL
Enumeration date
08/06/2008
Last updated
08/06/2008
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