Individual
TANYA Y FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 304-1400
Mailing address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 304-1400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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