Individual
GABRIEL NUNZIO FRATTALLONE LLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 STREET 2, MANS SIERRA TAINA, BAYAMON, PR 00956
(787) 413-5902
Mailing address
HC-67 BOX 133, BAYAMON, PR 00956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
03/09/2020
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