Individual
JILL S SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
279 MATTHEW ST, PROSPECT, CT 06712-1417
(203) 232-5948
Mailing address
279 MATTHEW ST, PROSPECT, CT 06712-1417
(203) 232-5948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002562
CT
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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