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Individual

DANIEL RICHARD CIOCCA

Active
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Individual

DANIEL RICHARD CIOCCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012532
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95012532
AGACNP LICENSE NUMBER
CA
01
95134721
RN LICENSE NUMBER
CA
Enumeration date
08/29/2019
Last updated
08/29/2019
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