Individual
MRS. CYNTHIA TIESE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-2473
Mailing address
PO BOX 179, RUSTON, LA 71273-0179
(318) 245-8287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1029
LA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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