Individual
ROSE E FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6311 RICHMOND HWY, ALEXANDRIA, VA 22306-6410
(703) 647-6087
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006437
VA
363A00000X
Physician Assistant
MA050800
PA
Other
Enumeration date
12/30/2005
Last updated
06/23/2021
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