Johnna A Mullen, LO Valid NPI
Individual provider · Optician · Shelton, CT
- NPI
- 1871880583
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- 1157 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-07-01
- Last updated
- 2011-07-01
Practice location
465 Bridgeport Ct
Shelton, CT 06484
(203) 926-1189