Individual
CAROL FRAUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5506 CANDLELIGHT DR, LA JOLLA, CA 92037-7711
(858) 442-2211
Mailing address
638 S 33RD ST, SAN DIEGO, CA 92113-2604
(619) 919-5465
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B7949269
DRIVER LICENSE
CA
Enumeration date
05/03/2021
Last updated
05/03/2021
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