Jessie Fragoso, RD Valid NPI
Individual provider · Registered Dietitian · Downey, CA
- NPI
- 1508249384
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 86045829 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-06-30
- Last updated
- 2015-06-30
Practice location
11812 Julius Ave
Downey, CA 90241-4612
(562) 659-4081