KENNETH JOHN FAZIO

SOUTH WALTHAM, MA
NPI1457133308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: MA  6391)
Additional Taxonomies156FX1800X Technician/Technologist, Optician
Enumeration Date2023-10-16
Last Update Date2023-11-01
Business Address
KENNETH JOHN FAZIO LDO
9 HOPE AVE
SOUTH WALTHAM, MA 02453-2741
Phone number: 781-216-1444
Mailing Address
KENNETH JOHN FAZIO LDO
9 HOPE AVE
WALTHAM, MA 02453-2741
Phone number: 781-216-1444