Individual
SHAMPREE NICOLE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12060 MAGAZINE ST APT 5201, ORLANDO, FL 32828-5520
(407) 409-1724
Mailing address
12060 MAGAZINE ST APT 5201, ORLANDO, FL 32828-5520
(407) 409-1724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
04/16/2015
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