CARMINE PETRACCA
Ambulatory Health at Bryden Ave, Lewiston, ID

License number
Idaho ODP-634
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. CARMINE PETRACCA O.D.
Title: OWNER
Phone: (208) 743-1761
Address
Address
939 Bryden Ave, Lewiston, ID 83501
National Provider ID: 1649601006
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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