Individual
HELEN V. FRAGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C,MSN
Contact information
Practice address
1350 JACKIE RD SE, SUITE 101, RIO RANCHO, NM 87124-1519
(505) 892-7518
(505) 892-9092
Mailing address
1350 JACKIE RD SE, SUITE 101, RIO RANCHO, NM 87124-1519
(505) 892-7518
(505) 892-9092
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
97-PA14
NM
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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