Individual
MRS. FAWN ELIZABETH FRISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
207 N GENEVA ST, ITHACA, NY 14850-4135
(607) 272-2610
Mailing address
207 N GENEVA ST, ITHACA, NY 14850-4135
Taxonomy
Speciality
Code
Description
License number
State
2470A2800X
Assistant Health Information Record Technician
—
—
376K00000X
Nurse's Aide
Primary
343303620812E
NY
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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