Individual
EMMA PUNSALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
131 BOSTON POST RD, WATERFORD, CT 06385-2839
(850) 442-5058
Mailing address
131 BOSTON POST RD, WATERFORD, CT 06385-2839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3003317
CT
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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