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MR. CODY FRAILEY

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1407265416

Individual Registrant:
MR. CODY  FRAILEY 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
242 N VILLA AVE  WILLOWS, CA 95988-2641 US
Tel: 530-934-6582  Fax: 530-934-6592

Contact information for business:
242 N VILLA AVE  WILLOWS, CA 95988-2641 US
Tel: 530-934-6582  Fax: 530-934-6592

Registration Information:
NPI: 1407265416
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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