SearchMissouri101YP2500X

Candace Fruge, L

NPI 1245585595 · on the registry since 2012 · sole proprietor

Practice

Address
2054 N Jefferson Ave
Springfield, MO 65803
Phone
(417) 848-9762

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
173C00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-23

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 Missouri