Individual
JENNIFER IRENE HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LO
Contact information
Practice address
1252 TRUMBULL HWY, LEBANON, CT 06249-1534
(413) 388-2973
Mailing address
1252 TRUMBULL HWY, LEBANON, CT 06249-1534
(413) 388-2973
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1824
CT
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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