Individual provider · Type 1 NPI

Daniel Fragoso

Student in an Organized Health Care Education/Training Program · Redlands, CA

NPI number 1043056567 Active

Practice location

26001 Redlands Blvd
Redlands, CA 92373-7762

Mailing address

2817 Mission Inn Ave
Riverside, CA 92507-4212

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1043056567

Daniel Fragoso's National Provider Identifier is 1043056567, issued on Jul 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redlands, CA. The record was last updated on Jul 3, 2024.