Individual
JENNIE LEONARD MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1320 W MAIN ST STE 3, WATERBURY, CT 06708-3129
(203) 755-4941
Mailing address
1320 W MAIN ST STE 3, WATERBURY, CT 06708-3129
(203) 577-9202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3371
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2024
Last updated
10/29/2025
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