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Sophia Fraser

Technician, Personal Care Attendant in Weston, WV. Individual provider (NPI-1).

NPI number1124778469
StatusActive
Last updated in NPPESMar 28, 2022

Details

NPI
1124778469
Entity type
Individual (NPI-1)
Name
Sophia Fraser
Sex
Female
Sole proprietor
No
Enumeration date
Mar 28, 2022
Certification date
Mar 28, 2022
Last updated
Mar 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

171 W 2nd St
Weston, WV 26452-1665

Phone 304-269-5738

Mailing address

171 W 2nd St
Weston, WV 26452-1665

Phone 304-269-5738

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