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NPI Code Detail

MEDICARE: CHANELLE LAJUAN FRAZIER PCA

MEDICARE: CHANELLE LAJUAN FRAZIER PCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1265781462
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANELLE LAJUAN FRAZIER PCA
Provider Business Mailing Address
First Line : 1420 K STREET NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20005
Country : US
Telephone Number : 202-293-2931
Fax Number : 202-293-3480
Provider Business Practice Location Address
First Line : 1010 VERMONT AVE NW STE 1003
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-4927
Country : US
Telephone Number : 202-827-9004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2012
Last Update Date : 09/11/2025

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