Individual
DR. ALYSSA FASANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 296-5112
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
(802) 296-5112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0096019
VT
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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