Individual
JAMIE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3770 S FUNK RD, WOOSTER, OH 44691-9723
(330) 464-9651
Mailing address
2091 S ELYRIA RD, WOOSTER, OH 44691-9724
(330) 464-9651
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0089816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107536442099
—
OH
Enumeration date
01/09/2017
Last updated
01/09/2017
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