Individual
ANN MARIE TRUSCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3109 COFFEE RD, STE A, MODESTO, CA 95355-1766
(209) 522-0001
(209) 549-7077
Mailing address
PO BOX 578202, MODESTO, CA 95357-8202
(209) 522-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G68634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G686340
—
CA
Enumeration date
01/28/2006
Last updated
02/09/2011
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