Individual
MARYANN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
131 NEW LONDON TPKE STE 200, GLASTONBURY, CT 06033-2246
(860) 837-9628
Mailing address
216 OXFORD CT, MERIDEN, CT 06450-8147
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1231
CT
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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