Individual
KIMBERLY RAUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
Mailing address
114 CORONA DR, MILFORD, CT 06460-3514
(203) 606-6062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3090
CT
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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