Individual
MICHAEL DOMINIC FALLACARO
Active
Individual
MICHAEL DOMINIC FALLACARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNS, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024157772
VA
Other
Enumeration date
08/09/2005
Last updated
11/17/2011
Update your record
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