Individual
MRS. TERRI K DECECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
237 CALEF HWY, EPPING, NH 03042-2326
(603) 679-1880
(603) 679-1820
Mailing address
237 CALEF HWY, EPPING, NH 03042-2326
(603) 679-1880
(603) 679-1820
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
835
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30753100
—
NH
Enumeration date
04/08/2008
Last updated
04/08/2008
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