Individual
MR. JESSE COLLIN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
126 NEW BRITAIN AVE APT N2, PLAINVILLE, CT 06062-2035
(203) 578-0294
Mailing address
126 NEW BRITAIN AVE APT N2, PLAINVILLE, CT 06062-2035
(203) 578-0294
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1913
CT
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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