Individual
DR. JORGE A FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
207 N 3RD AVE, PASCO, WA 99301-5315
(509) 547-4207
(509) 547-4208
Mailing address
207 N 3RD AVE, PASCO, WA 99301-5315
(509) 547-4207
(509) 547-4208
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH00002378
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH00002378
STATE LICENSE NUMBER
WA
Enumeration date
02/26/2007
Last updated
07/08/2007
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