Individual
MISS JANE FAILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
3164 BERLIN TPKE, NEWINGTON, CT 06111-4627
(860) 667-1302
Mailing address
3164 BERLIN TPKE, NEWINGTON, CT 06111-4627
(860) 667-1302
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1089
CT
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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