CHARVEL LEE RENEE BLANCO

WEST HARTFORD, CT
NPI1518562974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CT  1701)
Enumeration Date2020-12-03
Last Update Date2025-11-03
Business Address
CHARVEL LEE RENEE BLANCO LO
433 S MAIN ST STE 103
WEST HARTFORD, CT 06110-2812
Phone number: 860-236-9004
Mailing Address
CHARVEL LEE RENEE BLANCO LO
185 BIRCHWOOD DR
NEW BRITAIN, CT 06052-1574
Phone number: 860-736-4438