Individual
RATTANA MEUANETHONGCHANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
69 PROSPECT HILL RD, EAST WINDSOR, CT 06088-3600
(860) 623-7910
(860) 627-6433
Mailing address
69 PROSPECT HILL RD, EAST WINDSOR, CT 06088-3600
(860) 623-7910
(860) 627-6433
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001597
CT
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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