Individual
PAMELA JEANETTE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14028 N HWY 183 STE D120, AUSTIN, TX 78717-5992
(512) 250-8800
(512) 250-8800
Mailing address
106 LOUISE ST, ELGIN, TX 78621-1208
(406) 599-9190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT119246
TX
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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