person
Diane Mintich, LO
Optician in Wallingford, Connecticut
NPI 1346462520

Diane Mintich is a Optician based in Wallingford, CT and is specialized in Optician. Diane Mintich practices in Wallingford, CT and has the professional credentials of LO. The NPI Number for Diane Mintich is 1346462520 and holds a License No. 001415 (Connecticut).

The current practice location address for Diane Mintich is 58 Center St, Wallingford, CT and can be reached out via phone at 203-265-1541 and via fax at 203-265-3129. You can also correspond with Diane Mintich through the mailing address at 58 CENTER ST, WALLINGFORD, CT - 06492-4112 (mailing address contact number: ).

Location: 58 Center St, Wallingford, CT, 06492-4112
person
Provider Profile Details
NPI Number
1346462520
Provider Name
Diane Mintich
Credential
LO
Provider Entity Type
Individual
Gender
Female
Address
58 Center St, Wallingford, CT, 06492-4112
Phone Number
203-265-1541
Fax Number
203-265-3129
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
58 Center St
City
State
Zip
06492-4112
Phone Number
203-265-1541
Fax Number
203-265-3129
person
Provider Business Mailing Address Details
Address
58 Center St
City
State
Zip
06492-4112
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
001415 (Connecticut)
Definition
Definition to come...
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