SearchMississippi101YP2500X

Ricardo Fraga

NPI 1710281407 · on the registry since 2011 · sole proprietor

Practice

Address
135 Anchuka Dr
Saltillo, MS 38866
Phone
(601) 917-0161

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-20

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 Mississippi