Individual
MR. BRYAN CESAR FREGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S 8TH AVE, POCATELLO, ID 83209-0001
(208) 932-5251
Mailing address
393 KIMBERLY DR, IDAHO FALLS, ID 83401-3821
(208) 932-5251
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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