Individual
BECKY ANN FRAGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Mailing address
1910 GOLD AVE SE, ALBUQUERQUE, NM 87106-5401
(505) 835-4737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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