Individual
RICHARD EDUARDO MASCIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
800 SEAL BEACH BLVD, #22, SEAL BEACH, CA 90740-5607
(562) 626-7285
Mailing address
800 SEAL BEACH BLVD, #22, SEAL BEACH, CA 90740-5607
(562) 626-7285
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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