Individual
DR. ALICE FRAUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1560 E CHEVY CHASE DR, SUITE 200, GLENDALE, CA 91206-4197
(818) 242-3445
(818) 242-9937
Mailing address
861 MISTY ISLE DR, GLENDALE, CA 91207-1513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G41454
CA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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