Individual
ALEXIS ELIZABETH FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 JEAN DR, POUGHKEEPSIE, NY 12601-5606
(845) 337-2997
Mailing address
16 JEAN DR, POUGHKEEPSIE, NY 12601-5606
(845) 337-2997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325088-1
NY
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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