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Individual

MR. CASEY DAVID CANNIZZARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8910 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1104
(858) 514-5144
Mailing address
8910 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1104
(858) 514-5144

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CA

Other

Enumeration date
02/23/2021
Last updated
02/23/2021
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