Doctor Name: | MRS. TERRI K DECECCA |
NPI Number: | 1780857045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | 835 |
Business Practice Address: | 237 Calef Hwy Epping, NH - 030422326 |
Business Phone Number: | 6036791880 |
Business Fax Number: | 6036791820 |
Mailing Address: | 237 Calef Hwy, EPPING |
State: | NH |
Postal Code: | 030422326 |
Phone Number: | 6036791880 |
Fax Number: | 6036791820 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |