Organization
PAULUCCI SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA M. PAULUCCI (CO-OWNER)
(208) 743-0220
Entity
Organization
Contact information
Practice address
524 MAIN ST, LEWISTON, ID 83501
(208) 743-0220
Mailing address
524 MAIN ST, LEWISTON, ID 83501
(208) 743-0220
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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