Individual provider · Type 1 NPI

Elena Shade Fragoza

Driver · Bismarck, ND

NPI number 1205615192 Active

Practice location

1308 Elbowood Ln
Bismarck, ND 58503-5712

Call (701) 751-8267 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XFRA-93-0293 (ND)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1205615192

Elena Shade Fragoza's National Provider Identifier is 1205615192, issued on Sep 28, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bismarck, ND. The record was last updated on Sep 28, 2023.