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Glen Fraticelli, CMT
NPI 1174331474 · on the registry since 2024 · sole proprietor
Practice
- Address
- 550 Travis Ave Bldg 434
Travis Afb, CA 94535 - Phone
- (707) 631-4841
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California