Individual
MR. WAYNE PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
583 IYANNOUGH RD, HYANNIS, MA 02601-1929
(508) 771-2205
(508) 778-1973
Mailing address
583 IYANNOUGH RD, HYANNIS, MA 02601-1929
(508) 771-2205
(508) 778-1973
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1271
MA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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