Individual
JENNA WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
402 SAWDUST RD, THE WOODLANDS, TX 77380-2243
(281) 363-2020
Mailing address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
(860) 233-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3206
CT
Other
Enumeration date
06/28/2018
Last updated
08/11/2021
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