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Davon L Frazier

Case Manager/Care Coordinator in Davis, CA. Individual provider (NPI-1).

NPI number1457039760
StatusActive
Last updated in NPPESJul 19, 2023

Details

NPI
1457039760
Entity type
Individual (NPI-1)
Name
Mr. Davon L Frazier
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 6, 2023
Certification date
Jul 19, 2023
Last updated
Jul 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinatory3313126CAYes

Other names

  • Davon Lamar Frazier (Professional Name)

Practice location

1949 5th St
Davis, CA 95616-4026

Phone 530-753-2566

Mailing address

4735 Cowell Blvd
Davis, CA 95618-4461

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