Individual
ANTHEA GRACE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 48TH ST, SACRAMENTO, CA 95817-1541
(916) 734-2145
Mailing address
5614 SW WESTDALE DR, PORTLAND, OR 97221-2161
(503) 929-5848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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