IRVIN FRAGOSO

NORTH HOLLYWOOD, CA
NPI1487034278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2015-06-05
Last Update Date2018-07-24
Business Address
IRVIN FRAGOSO
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Phone number: 818-755-8784
Mailing Address
IRVIN FRAGOSO
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606-1576
Phone number: 818-755-8784
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