Individual
MRS. VYNETTE FALKON FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W. 90TH STREET, #19J, NEW YORK, NY 10024-1253
(212) 873-0317
Mailing address
175 W. 90TH STREET, #19J, NEW YORK, NY 10024-1253
(212) 873-0317
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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