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Jack L. Guccione
Specialist in Fortuna, California
NPI 1679681670

Jack L. Guccione is a Specialist based in Fortuna, CA. Jack L. Guccione practices in Fortuna, CA. The NPI Number for Jack L. Guccione is 1679681670 and holds a License No. G66333 (California).

The current practice location address for Jack L. Guccione is 2404 Newburg Rd, Fortuna, CA and can be reached out via phone at 707-725-8770 and via fax at 707-725-8773.

Location: 2404 Newburg Rd, Fortuna, CA, 95540-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679681670
Provider Name
Jack L. Guccione
Credential
Provider Entity Type
Organization
Address
2404 Newburg Rd, Fortuna, CA, 95540-2818
Phone Number
707-725-8770
Fax Number
707-725-8773
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2404 Newburg Rd
City
Fortuna
State
California
Zip
95540-2818
Phone Number
707-725-8770
Fax Number
707-725-8773
person
Provider Business Mailing Address Details
Address
2404 Newburg Rd
City
Fortuna
State
California
Zip
95540-2818
Phone Number
707-725-8770
Fax Number
707-725-8773
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G66333 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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