Individual
MRS. TONYA Y FRACASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17304 VAGABOND CIR, PUNTA GORDA, FL 33955-4538
(941) 505-2406
Mailing address
17304 VAGABOND CIR, PUNTA GORDA, FL 33955-4538
(941) 505-2406
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA240153
FL
Other
Enumeration date
02/18/2016
Last updated
02/22/2016
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