Kennedy Frazier
Doula in Tustin, CA. Individual provider (NPI-1).
NPI number1114819612
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1114819612
- Entity type
- Individual (NPI-1)
- Name
- Kennedy Frazier
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2025
- Certification date
- Jul 17, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
190 Centennial Way Apt 9Tustin, CA 92780-3733
Phone 310-623-2074
Mailing address
190 Centennial Way Apt 9Tustin, CA 92780-3733
Phone 310-623-2074
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