Healthcare Provider Details

I. General information

NPI: 1235342833
Provider Name (Legal Business Name): ERIN FRAZIER MAILLET DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30705 48TH AVE S
AUBURN WA
98001-2660
US

IV. Provider business mailing address

30705 48TH AVE S
AUBURN WA
98001-2660
US

V. Phone/Fax

Practice location:
  • Phone: 253-887-8002
  • Fax:
Mailing address:
  • Phone: 253-887-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVT00006886
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: