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Johnna A Mullen, LO
Optician in Shelton, Connecticut
NPI 1871880583

Johnna A Mullen is a Optician based in Oxford, CT and is specialized in Optician. Johnna A Mullen practices in Shelton, CT and has the professional credentials of LO. The NPI Number for Johnna A Mullen is 1871880583 and holds a License No. 1157 (Connecticut).

The current practice location address for Johnna A Mullen is 465 Bridgeport Ct, Shelton, CT and can be reached out via phone at 203-926-1189.

Location: 465 Bridgeport Ct, Shelton, CT, 06478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871880583
Provider Name
Johnna A Mullen
Credential
LO
Provider Entity Type
Individual
Gender
Female
Address
465 Bridgeport Ct, Shelton, CT, 06478
Phone Number
203-926-1189
Fax Number
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
465 Bridgeport Ct
City
Shelton
State
Connecticut
Zip
06484
Phone Number
203-926-1189
Fax Number
person
Provider Business Mailing Address Details
Address
465 Bridgeport Ct
City
Shelton
State
Connecticut
Zip
06484
Phone Number
203-926-1189
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1157 (Connecticut)
Definition
Definition to come...
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