Individual
PAUL RACETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3602 INLAND EMPIRE BLVD STE C130, ONTARIO, CA 91764-4942
(909) 484-5700
Mailing address
3602 INLAND EMPIRE BLVD STE C130, ONTARIO, CA 91764-4942
(909) 484-5700
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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