Individual
RENE R RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LO, FCLSA(H)
Contact information
Practice address
639 PARK RD STE 100, WEST HARTFORD, CT 06107-3443
(860) 521-9230
(860) 521-1709
Mailing address
639 PARK RD STE 100, WEST HARTFORD, CT 06107-3443
(860) 521-9230
(860) 521-1709
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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