Individual
JORDAN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16801 138TH AVE E, PUYALLUP, WA 98374-6812
(253) 579-4218
Mailing address
1901 S UNION AVE STE 6007, TACOMA, WA 98405-1702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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