Individual
MRS. ASHLEY MARIE HOLODNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
130 AMITY ROAD, NEW HAVEN, CT 06515-0651
(203) 397-3878
(203) 397-9110
Mailing address
130 AMITY RD, NEW HAVEN, CT 06515-1405
(203) 397-3878
(203) 397-9110
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1711
CT
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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