Individual
JESSICA DANIELLE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 NW 30TH TER APT 4, LAUDERDALE LAKES, FL 33309-4360
(561) 231-0393
Mailing address
3920 NW 30TH TER APT 4, LAUDERDALE LAKES, FL 33309-4360
(561) 231-0393
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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