person
Elena Shade Fragoza
Driver in Bismarck, North Dakota
NPI 1205615192

Elena Shade Fragoza is a Driver based in Bismarck, ND. Elena Shade Fragoza practices in Bismarck, ND. The NPI Number for Elena Shade Fragoza is 1205615192 and holds a License No. FRA-93-0293 (North Dakota).

The current practice location address for Elena Shade Fragoza is 1308 Elbowood Ln, Bismarck, ND and can be reached out via phone at 701-751-8267.

Location: 1308 Elbowood Ln, Bismarck, ND, 58503-5712
person
Provider Profile Details
NPI Number
1205615192
Provider Name
Elena Shade Fragoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
1308 Elbowood Ln, Bismarck, ND, 58503-5712
Phone Number
701-751-8267
Fax Number
Provider Enumeration Date
09/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1308 Elbowood Ln
City
State
Zip
58503-5712
Phone Number
701-751-8267
Fax Number
person
Provider Business Mailing Address Details
Address
1308 Elbowood Ln
City
State
Zip
58503-5712
Phone Number
701-751-8267
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
FRA-93-0293 (North Dakota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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