Individual
TANIA COY GARDINER HASSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
30 MAIN ST, FAIRFIELD, ME 04937-1120
(207) 453-6811
Mailing address
30 MAIN ST, FAIRFIELD, ME 04937-1120
(207) 453-6811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT863
ME
183500000X
Pharmacist
PR4842
ME
Other
Enumeration date
04/22/2007
Last updated
03/20/2014
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