Individual
ALEXIS FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6555 COYLE AVE, SUITE 235, CARMICHAEL, CA 95608-0302
(916) 200-0087
Mailing address
6555 COYLE AVE, SUITE 235, CARMICHAEL, CA 95608-0302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00206388
MEDICARE RAILROAD
CA
Enumeration date
02/16/2011
Last updated
02/16/2011
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