Individual
RICK RAKOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1400 N DEVILS DEN RD, WINSLOW, AR 72959-2605
(479) 530-3825
Mailing address
1400 N DEVILS DEN RD, WINSLOW, AR 72959-2605
(479) 530-3825
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L-030453
AR
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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