Individual
MARK EDWARD VACCARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7926 KENTLAND AVE, WEST HILLS, CA 91304-4608
(203) 887-0560
Mailing address
7926 KENTLAND AVE, WEST HILLS, CA 91304-4608
(203) 887-0560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
679765
CA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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