Individual
CASANDRA FAY FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RED MOON CIRCLE, 100 RED MOON CIRCLE, CONCHO, OK 73022
(405) 422-7452
Mailing address
1400 W ELM ST APT 251400, EL RENO, OK 73036-4952
(405) 549-3519
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
03/31/2023
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