Individual
MRS. SONJA PATRICIA CARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OP
Contact information
Practice address
57 MAIN ST, NEWPORT, NH 03773-1519
(603) 863-7770
(603) 863-7248
Mailing address
PO BOX 148, NEWPORT, NH 03773-0148
(603) 863-7770
(603) 863-7248
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
NH0457
NH
156FX1800X
Optician
Primary
NH0457
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017998
—
VT
05
—
30757583
—
NH
Enumeration date
05/26/2009
Last updated
10/13/2010
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