Elizabeth Fague
NPI #1538397419 in Waterford, Connecticut
Provider Information
- NPI Number
- 1538397419
- Entity Type
- Individual
- Name
- Elizabeth Fague
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jun 30, 2009
- Last Updated
- Jun 30, 2009
Practice Location
- Address
- 155 WATERFORD PARKWAY N.
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385
- Phone
- (860) 437-3748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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