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Individual
JOSEPH JACOB MAZZULLO
Active
Individual
JOSEPH JACOB MAZZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666305
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
666305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149863059
VETERANS ADMINISTRATION
—
Enumeration date
08/25/2018
Last updated
11/17/2022
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