Diane Mintich, LO
Diane Mintich, LO is an Optician in Wallingford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
58 Center StWallingford, CT 06492-4112
Phone: (203) 265-1541
Fax: (203) 265-3129
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 001415 (CT) |
|---|
Record details
| NPI number | 1346462520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LO |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
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