Individual
MRS. GINA M FRAGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13709 210TH ST E, GRAHAM, WA 98338-6625
(360) 229-4438
(855) 696-7932
Mailing address
13709 210TH ST E, GRAHAM, WA 98338-6625
(360) 229-4438
(855) 696-7932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004361
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8419392
—
WA
Enumeration date
05/10/2006
Last updated
09/25/2023
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