Individual
MRS. CYNTHIA LOUISE DAIGNEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC NCLEC RDO FNAO
Contact information
Practice address
285 FOREST GROVE AVE, WRENTHAM, MA 02093-1006
(508) 384-3688
(508) 384-3688
Mailing address
285 FOREST GROVE AVE, WRENTHAM, MA 02093-1006
(508) 384-3688
(508) 384-3688
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5810
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720194
—
MA
Enumeration date
06/12/2007
Last updated
07/08/2007
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