Individual
MICA DESHAUN FRYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 E MAIN ST APT 3, LANCASTER, OH 43130-8164
(614) 352-9473
Mailing address
7193 FEATHER CT, REYNOLDSBURG, OH 43068-5107
(614) 352-9473
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
01/16/2020
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