Individual
MS. BECKI JEAN FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 HURD STREET, CASTILE 14427, NY 14427
(585) 689-0768
Mailing address
25 HURD STREET, P0 BOX 242, CASTILE 14427, NY 14427
(585) 689-0768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312316-1
NY
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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