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Individual

MS. JAYNE M FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9961 SIERRA AVE, BUILDING 3-A, FONTANA, CA 92335-6720
(909) 427-7910
(909) 427-5723
Mailing address
9961 SIERRA AVE, BLDG. 3-A, FONTANA, CA 92335-6720
(909) 427-7900
(909) 427-5723

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00405122
CA

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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