Individual
MR. DAVID MICHAEL VANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
102 W BIANCHI RD, STOCKTON, CA 95207-7132
(209) 644-4808
(209) 952-9840
Mailing address
712 N HEMLOCK PL, ANAHEIM, CA 92805-2145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48372
CA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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