Mario John Mannarino, IDC

NPI #1003877879

Provider Information

NPI Number: 1003877879
Entity Type: Individual
Name: Mario John Mannarino, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Mar 31, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: MSFSC SHIP SUPPORT UNIT, GUAM
Address 2: PSC 455, BOX 198
City: Fpo
State: AP
ZIP Code: 96540-2600
Phone: (671) 339-2284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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