Individual
LEONIS DE FARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
220 HOWARD ST, FRAMINGHAM, MA 01702-8311
(508) 879-7642
(508) 879-7672
Mailing address
220 HOWARD ST, FRAMINGHAM, MA 01702-8311
(508) 879-7642
(508) 879-7672
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5688
MA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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