Individual
MRS. MARLEIGH HELEN MCNEALUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
4363 ROUTE 7A, VILLAGE MALL, MANCHESTER CENTER, VT 05255-0567
(802) 362-2020
(802) 362-2524
Mailing address
PO BOX 567, MANCHESTER CENTER, VT 05255-0567
(802) 362-2020
(802) 862-2524
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
02800000269
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280000269
STATE OF VERMONT
VT
Enumeration date
04/30/2007
Last updated
07/08/2007
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