Individual
GIANCARLO MIGNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
LAUREL AV STA JUANITA, BAYAMON, PR 00960
(787) 798-3001
Mailing address
6601 SUDBURY RD, PLANO, TX 75024-7534
(972) 754-1809
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
05/12/2020
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