Individual
MISS DAYANA BRILLITH FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15813 PAUL VEGA MD DR # 403, HAMMOND, LA 70403-1426
(985) 230-7350
Mailing address
PO BOX 2666, PROFESSIONAL BILLING SERVICES, HAMMOND, LA 70404-1426
(985) 230-3668
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
343160
LA
Other
Enumeration date
05/17/2024
Last updated
08/19/2024
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