Individual
MISS ROSE-MARY JANE DYKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
161 BERLIN RD, CROMWELL, CT 06416-1021
(860) 519-6228
Mailing address
161 BERLIN RD, CROMWELL, CT 06416-1021
(860) 519-6228
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001658
CT
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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