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Dr. Samuel Urrutia Fraguada, MD
Student in an Organized Health Care Education/Training Program in Mount Vernon, Washington
NPI 1982280525

Samuel Urrutia Fraguada is a Student in an Organized Health Care Education/Training Program based in Mount Vernon, WA. Samuel Urrutia Fraguada practices in Mount Vernon, WA and has the professional credentials of MD. The NPI Number for Samuel Urrutia Fraguada is 1982280525 and holds a License No. (Washington).

The current practice location address for Samuel Urrutia Fraguada is 1415 E Kincaid St, Mount Vernon, WA and can be reached out via phone at 360-814-2115.

Location: 1415 E Kincaid St, Mount Vernon, WA, 98274-4126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982280525
Provider Name
Samuel Urrutia Fraguada
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1415 E Kincaid St, Mount Vernon, WA, 98274-4126
Phone Number
360-814-2115
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1415 E Kincaid St
City
Mount Vernon
State
Washington
Zip
98274-4126
Phone Number
360-814-2115
Fax Number
person
Provider Business Mailing Address Details
Address
1415 E Kincaid St
City
Mount Vernon
State
Washington
Zip
98274-4126
Phone Number
360-814-2115
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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