Individual
ERIC FRAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(909) 702-1195
Mailing address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000006937
CA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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