| Doctor Name: | XIOMARA INEZ FRAY |
| NPI Number: | 1043231517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CHN |
| License Number: | 344822 |
| Business Practice Address: | 1061 Harmon Ave Suite 1d03 Fort Stewart, GA - 313145611 |
| Business Phone Number: | 9124356933 |
| Business Fax Number: | 9124355966 |
| Mailing Address: | 1061 Harmon Ave, Suite 1d03 FORT STEWART |
| State: | GA |
| Postal Code: | 313145611 |
| Phone Number: | 9124356933 |
| Fax Number: | 9124355966 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 344822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |