Individual
LATIA SHANEA FRYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
1054 ROCKCRESS DR, TOLEDO, OH 43615-9242
(419) 466-9241
Mailing address
1054 ROCKCRESS DR, TOLEDO, OH 43615-9242
(419) 466-9241
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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