Individual
OTONIEL EDUARDO ROBERTI MOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21341 WINDY HILL DR, FRANKFORT, IL 60423-8621
(786) 622-6310
Mailing address
21341 WINDY HILL DR, FRANKFORT, IL 60423-8621
(786) 622-6310
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000750
IL
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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