Individual
CHANTILLIE JEANINE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 GLENWOOD RD, ROSSFORD, OH 43460-1378
(419) 810-6849
Mailing address
416 GLENWOOD RD, ROSSFORD, OH 43460-1378
(419) 810-6849
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000310852
—
OH
Enumeration date
02/07/2023
Last updated
02/07/2023
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