Individual
MALIA LYNN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6273
(208) 381-9590
Mailing address
305 E JEFFERSON ST, BOISE, ID 83712-6273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2265011
MA
Other
Enumeration date
10/13/2010
Last updated
08/30/2019
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