Individual
CHRISTINA ANN FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1364 NW ITHACA AVE, BEND, OR 97701-2223
(541) 977-3729
Mailing address
1364 NW ITHACA AVE, BEND, OR 97701-2223
(541) 977-3729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4917593
OR
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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