Individual
JESSICA DENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
1954 85TH ST, BROOKLYN, NY 11214-3102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3225
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2021
Last updated
10/04/2021
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