Provider Demographics
NPI:1306206610
Name:ZARAGOZA, FRANCISCO (MT)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:ZARAGOZA
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 SHERWOOD OAKS RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-5215
Mailing Address - Country:US
Mailing Address - Phone:404-435-1189
Mailing Address - Fax:
Practice Address - Street 1:603 SHERWOOD OAKS RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-5215
Practice Address - Country:US
Practice Address - Phone:404-435-1189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT000901225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist