Jack L. Guccione
Jack L. Guccione is a Specialist in Fortuna, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
2404 Newburg RdFortuna, CA 95540-2818
Phone: (707) 725-8770
Fax: (707) 725-8773
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence G66333 (CA) |
|---|
Record details
| NPI number | 1679681670 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Guccione — Director · (707) 725-8770 |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | November 19, 2012 |
| Mailing address | 2404 Newburg Rd, Fortuna, CA 95540-2818 |
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