Individual
SAMANTHA BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 QUEEN ST, SOUTHINGTON, CT 06489-1915
(860) 621-2310
Mailing address
235 QUEEN ST, SOUTHINGTON, CT 06489-1915
(860) 621-2310
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1802
CT
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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