Individual
NIKA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 NE LOOP 410 STE 400, SAN ANTONIO, TX 78216-5834
(210) 951-3280
Mailing address
45 NE LOOP 410 STE 400, SAN ANTONIO, TX 78216-5834
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DENA000810
DC
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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