Individual
MISS ELIZABETH M FRAGELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 669-9040
Mailing address
10365 GORENFLO RD, APT 1414, DIBERVILLE, MS 39540-2735
(228) 669-9040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-1758
MS
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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