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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK L. GUCCIONE

Active Organization

JACK L. GUCCIONE is a Specialist organization located in FORTUNA, California. NPI 1679681670 is currently active in the NPPES registry. Verify at CMS.

Specialist · FORTUNA, CA

Registration Details

NPI Number
1679681670
Provider Type
Organization
NPI Issued
Aug 29, 2006 (19.778285110399 yrs)
Last Updated
Nov 19, 2012
License
G66333 (CA)

Practice Information

Address
2404 NEWBURG RD
FORTUNA, CA, 955402818
Browse CA providers · Browse ZIP 95540
Phone
7077258770
Fax
7077258773
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in FORTUNA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.