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Dominique Frazier

Licensed Practical Nurse in Farmington Hills, MI. Individual provider (NPI-1).

NPI number1215775481
StatusActive
Last updated in NPPESJul 19, 2024

Details

NPI
1215775481
Entity type
Individual (NPI-1)
Name
Dominique Frazier
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2024
Certification date
Jul 19, 2024
Last updated
Jul 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse4703120750MIYes

Practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Phone 833-476-5837

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

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