Individual
SARA FRAGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MORDINGTON AVENUE, CHARLES TOWN, WV 25414
(304) 728-9270
Mailing address
276 CHENEY AVE, HARPERS FERRY, WV 25425-6345
(304) 728-9270
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R9A135300174
WV
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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