Individual
BRYAN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
(619) 718-9890
Mailing address
430 E 2ND ST, NATIONAL CITY, CA 91950-1309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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