Individual
MRS. PATRICIA ANN DOMENICHELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
517 WHITTIER HWY, MOULTONBOROUGH, NH 03254-3213
(603) 493-1462
Mailing address
517 WHITTIER HWY, MOULTONBOROUGH, NH 03254-3213
(603) 493-1462
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2527
NH
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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