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Individual

MR. DANIEL DAVID FRATICELLI I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST

Contact information

Practice address
16 CALLE WILLIE ROSARIO, SUITE 2, COAMO, PR 00769-3217
(787) 461-7518
Mailing address
LA ALHAMBRA, GRANADA STREET #2115, PONCE, PR 00716
(787) 461-7518

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3224
PR

Other

Enumeration date
08/07/2009
Last updated
08/07/2009
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