RICK WAYNE IDETA

FRESNO, CA
NPI1245282011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT8503TPA)
Enumeration Date2006-05-17
Last Update Date2010-03-03
Business Address
Dr. RICK WAYNE IDETA OD
7215 N 1ST ST STE 101
FRESNO, CA 93720-2985
Phone number: 559-226-3937
Mailing Address
Dr. RICK WAYNE IDETA OD
7215 N 1ST ST STE 101
FRESNO, CA 93720-2985
Phone number: 559-226-3937
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