| NPI | 1205519782 |
|---|---|
| Professional Name | DAN JOSEPH MUCERINO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 175F00000X Naturopath |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |