Individual
KRYSTAL FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S APOLLO BLVD, MELBOURNE, FL 32901-1457
(860) 719-3867
Mailing address
725 S APOLLO BLVD, MELBOURNE, FL 32901-1457
(860) 719-3867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88706
FL
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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