Individual
CHARLENE SIROIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 BOSTON POST RD, NORTH WINDHAM, CT 06256-1052
(860) 423-5230
(860) 423-5267
Mailing address
474 BOSTON POST RD, NORTH WINDHAM, CT 06256-1052
(860) 423-5230
(860) 423-5267
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1057
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT. 1057
STATE LICENSE
CT
Enumeration date
05/31/2016
Last updated
05/31/2016
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