Individual
MRS. MICHELLE FRATERNALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 OLEANDER ST, BATON ROUGE, LA 70806-5328
(225) 910-8025
Mailing address
2355 OLEANDER ST, BATON ROUGE, LA 70806-5328
(225) 910-8025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LLA001
LA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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