Individual
DR. MONA MARCELLA COLIANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1ST MLG CLR 1, CAMP PENDLETON, CA 92055
(760) 725-1457
Mailing address
1ST MLG CLR 1, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A9720
CA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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