Individual
CHARLENE CYNTHIA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
139 RIVER ST APT 1, BOSTON, MA 02126-3039
(617) 657-1505
Mailing address
139 RIVER ST APT 1, BOSTON, MA 02126-3039
(617) 657-1505
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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