Individual
JON MICHAEL FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 LAWRENCE EXPY # 296, SANTA CLARA, CA 95051-5173
(408) 851-2896
Mailing address
710 LAWRENCE EXPY # 296, SANTA CLARA, CA 95051-5173
(408) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3052
CA
237700000X
Hearing Instrument Specialist
HA7972
CA
Other
Enumeration date
06/26/2015
Last updated
12/03/2021
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