CARMINE JOHN PETRACCA

LEWISTON, ID
NPI1457468613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP634)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
DR. CARMINE JOHN PETRACCA OD
939 BRYDEN
LEWISTON, ID 83501-5097
Phone number: 208-743-1761
Mailing Address
DR. CARMINE JOHN PETRACCA OD
939 BRYDEN
LEWISTON, ID 83501-5097
Phone number: 208-743-1761
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