Individual provider · Type 1 NPI

Imani Fraser

Student in an Organized Health Care Education/Training Program · Fairfax, VA

NPI number 1790468692 Active

Practice location

3925 Blenheim Blvd Ste 52B
Fairfax, VA 22030-2426

Call (571) 418-1714 Map

Mailing address

5720 Metroview Pkwy Apt 260
Alexandria, VA 22303-1557

Specialties and licenses

TaxonomyCodeLicense
Art Therapist 221700000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1790468692

Imani Fraser's National Provider Identifier is 1790468692, issued on Aug 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 8, 2023.