Individual
MR. JONATHAN JOSEPH IOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
326 S NORMANDIE AVE APT 306, LOS ANGELES, CA 90020-3117
(760) 216-1398
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
95117764
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95117764
CA
Other
Enumeration date
04/27/2018
Last updated
05/24/2019
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