Leslie Jannet Fragoso

NPI 1720408107 - Specialist/Technologist - 2355S0801X

NPI Details
NPI 1720408107
Gender Female
Enumeration Date 04/23/2014
Last Updated 04/23/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3721 HOPE ST
HUNTINGTON PARK CA, 90255-6219, US
Phone (323) 867-5103
Fax
Business Location
3721 HOPE ST
HUNTINGTON PARK CA, 90255-6219, US
Phone
Fax
Toxanomy
Taxonomy Code 2355S0801X
License State California
License Number SPA2316
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According to our database, Leslie Jannet Fragoso NPI is 1720408107, taxonomy code is 2355S0801X and license number is SPA2316, license state is located at California. Leslie Jannet Fragoso physically located at 3721 Hope St, Huntington Park CA, 90255-6219. NPI Number Leslie Jannet Fragoso has the Individual type.

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1720408107 NPI number is provided on an as is basis without warranty of any kind. 1720408107 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Jannet Fragoso are for informational purposes only.