DR. Alyssa Fasano

NPI #1649699083 in White River Junction, Vermont

Provider Information

NPI Number: 1649699083
Entity Type: Individual
Name: DR. Alyssa Fasano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Apr 14, 2014
Last Updated: Apr 14, 2014

Practice Location

Address: 215 N MAIN ST
City: White River Junction
State: Vermont
ZIP Code: 05009-0001
Phone: (802) 295-9363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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