Anita Fragoso, PA-C

NPI #1932335775 in Gonzales, California

Provider Information

NPI Number: 1932335775
Entity Type: Individual
Name: Anita Fragoso, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 8, 2009
Last Updated: Jan 13, 2014

Practice Location

Address: 133 FOURTH STREET
City: Gonzales
State: California
ZIP Code: 93926
Phone: (831) 675-3601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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