Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | G080183 | CA |
NPI | 1104839778 |
---|---|
Provider Name | Dr. Gianna Michelle Frazee |
First Address | San Francisco, CA 94118-1522 |
Second Address | San Francisco, CA 94118-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 16/12/2021 |