Individual
JOSE MANUEL ROBERTI MOCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
9182 FOREST LN APT 210, DALLAS, TX 75243-8939
(786) 340-3071
Mailing address
9182 FOREST LN APT 210, DALLAS, TX 75243-8939
(786) 340-3071
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-234
WI
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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