Individual
SANDRA L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LO
Contact information
Practice address
120 COMMERCIAL PKWY, BRANFORD, CT 06405-2537
(203) 483-1876
(203) 488-3560
Mailing address
120 COMMERCIAL PKWY, BRANFORD, CT 06405-2537
(203) 483-1876
(203) 488-3560
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001480
CT
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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