Individual
JEFFREY GIOVANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-4011
Mailing address
818 SHERIDAN ST, MONONGAHELA, PA 15063-2239
(724) 207-3719
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
RT005780
PA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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