Individual
DR. GLEN FRATICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
550 TRAVIS AVE BLDG 434, TRAVIS AFB, CA 94535-2108
(707) 631-4841
Mailing address
2643 SEMINOLE CIR, FAIRFIELD, CA 94534-7872
(707) 631-4841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98220
CA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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