SearchWashington183500000X

Stephen Petricca

NPI 1487198701 · on the registry since 2016 · sole proprietor

Practice

Address
5217 California Ave Sw
Seattle, WA 98136
Phone
(412) 901-6771
Organisation at this address
Rite Aid
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington