Individual
MARK TRISTAN FUCINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
4653 CARMEL MOUNTAIN RD STE 308-201, SAN DIEGO, CA 92130-6650
(619) 955-8494
Mailing address
4653 CARMEL MOUNTAIN RD STE 308-201, SAN DIEGO, CA 92130-6650
(619) 955-8494
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
07/25/2014
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