Individual
STACY L FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 SPRUCE ST, GRIDLEY, CA 95948-2215
(530) 846-5655
(530) 846-3784
Mailing address
225 SPRUCE ST, GRIDLEY, CA 95948-2215
(530) 846-5655
(530) 846-3784
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21759
CA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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