Individual
FERNANDA RESENDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
70 HUTTLESTON AVE, FAIRHAVEN, MA 02719-3140
(508) 994-2020
(508) 991-6082
Mailing address
70 HUTTLESTON AVE, FAIRHAVEN, MA 02719-3140
(508) 994-2020
(508) 991-6082
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4651
MA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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