Individual
MR. DENNIS JOHN PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
4760 ORTEN ST, SAN DIEGO, CA 92110-1321
(858) 775-7680
Mailing address
4760 ORTEN ST, SAN DIEGO, CA 92110-1321
(858) 775-7680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
02/16/2011
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