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Individual

MRS. IDA LEE FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2402 W PIERCE ST, SUITE 4A, CARLSBAD, NM 88220-3537
(575) 234-9964
(575) 234-3438
Mailing address
2402 W PIERCE ST, SUITE A, CARLSBAD, NM 88220-3537
(575) 234-9964
(575) 234-3438

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 01698
NM

Other

Enumeration date
11/11/2010
Last updated
01/03/2014
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