Individual
SHANIQUA FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(914) 563-8701
Mailing address
837 WASHINGTON AVE APT 6M, BRONX, NY 10451-4846
(646) 648-3652
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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