MRS. Patricia Ann Domenichello, OPTICIAN
NPI #1669060950 in Moultonborough, New Hampshire
Provider Information
- NPI Number
- 1669060950
- Entity Type
- Individual
- Name
- MRS. Patricia Ann Domenichello, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Jan 4, 2021
- Last Updated
- Jan 4, 2021
Practice Location
- Address
- 517 WHITTIER HWY
- City
- Moultonborough
- State
- New Hampshire
- ZIP Code
- 03254-3213
- Phone
- (603) 493-1462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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