Elena Shade Fragoza
Elena Shade Fragoza is a Driver in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2023.
- Licensed in
- ND
- In the registry since
- 2023
Practice location Address checks out
1308 Elbowood LnBismarck, ND 58503-5712
Phone: (701) 751-8267
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence FRA-93-0293 (ND) |
|---|
Record details
| NPI number | 1205615192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | September 28, 2023 |
| Certification date | September 28, 2023 |
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