DIANE MINTICH

WALLINGFORD, CT
NPI1346462520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CT  001415)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- DIANE MINTICH LO
58 CENTER ST
WALLINGFORD, CT 06492-4112
Phone number: 203-265-1541
Mailing Address
-- DIANE MINTICH LO
58 CENTER ST
WALLINGFORD, CT 06492-4112
Phone number: