Individual
MR. DONALD COSICO-BERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(760) 432-9884
Mailing address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(760) 432-9884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
521816
CA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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