Individual
MRS. CORETTA FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA-HRM
Contact information
Practice address
200 N CONGRESS ST STE 109, JACKSON, MS 39201-1902
(601) 863-6997
Mailing address
108 SUTTER DR, TERRY, MS 39170-5034
(601) 863-6997
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853667274
HOME HEALTH
MS
Enumeration date
11/30/2020
Last updated
11/30/2020
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