Individual
RUSSELL ALAN DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1650 W VALENCIA RD, TUCSON, AZ 85746-6021
(520) 573-3264
(520) 294-2686
Mailing address
1650 W VALENCIA RD, TUCSON, AZ 85746-6021
(520) 573-3264
(520) 294-2686
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
2474
AZ
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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