Individual
JENNIFER ELIZABETH BOTTE-FRASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5651 SEPULVEDA BLVD STE 201, SHERMAN OAKS, CA 91411-2954
(818) 788-2400
Mailing address
4928 LAZIO WAY, OAK PARK, CA 91377-5570
(310) 869-8192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024028605
CA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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