EIVOR YANA FRAGOSO

SYLMAR, CA
NPI1114059409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2007-03-12
Last Update Date2023-05-05
Business Address
Miss EIVOR YANA FRAGOSO
12510 VAN NUYS BLVD.
SYLMAR, CA 91331
Phone number: 818-899-2532
Mailing Address
Miss EIVOR YANA FRAGOSO
12510 VAN NUYS BLVD.
SYLMAR, CA 91331
Phone number: 818-899-2532