Individual
JUSTIN MASTRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3600 W MARKET ST STE 200, FAIRLAWN, OH 44333-4540
(330) 666-2700
Mailing address
23951 DELMERE DR, NORTH OLMSTED, OH 44070-1573
(810) 394-5906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0032261
OH
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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