| Doctor Name: | JOAN M FRACALOSSI |
| NPI Number: | 1407960818 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MEMMGR-R&J RAMPS LLC |
| License Number: | |
| Business Practice Address: | 10196 Stoneybrook Ct Se Leland, NC - 284518474 |
| Business Phone Number: | 9103832560 |
| Business Fax Number: | 8662942371 |
| Mailing Address: | 10196 Stoneybrook Ct Se, LELAND |
| State: | NC |
| Postal Code: | 284518474 |
| Phone Number: | 9103832560 |
| Fax Number: | 8662942371 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |