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Individual

MS. SUSAN MARILYN FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN, GNP,C

Contact information

Practice address
3440 HOLLYWOOD BLVD, SUITE 460, HOLLYWOOD, FL 33021-6927
(866) 986-2263
(866) 968-6339
Mailing address
3583 GRANADA AVE, SAN DIEGO, CA 92104-4144
(619) 688-0774

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
399028
CA

Other

Enumeration date
06/14/2006
Last updated
12/08/2011
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