Individual
LISA RENEE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3129 DUNWORKEN DR, CHESAPEAKE, VA 23321-4914
(757) 717-6015
Mailing address
3129 DUNWORKEN DR, CHESAPEAKE, VA 23321-4914
(757) 717-6015
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
916087
VA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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