Individual
MR. JOSEPH FRABOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
6894R MOKAPU RD, KAILUA, HI 96734
(808) 257-2648
Mailing address
644 SHARON LN, YORKTOWN HEIGHTS, NY 10598-3115
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
12/11/2020
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