Ashley Marie Holodnak, L.O.
Technician/Technologist, Optician in New Haven, CT. Individual provider (NPI-1).
NPI number1881115657
StatusActive
Last updated in NPPESJul 3, 2017
Details
- NPI
- 1881115657
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ashley Marie Holodnak
- Credential
- L.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2017
- Last updated
- Jul 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1711 | CT | Yes |
Practice location
130 Amity RoadNew Haven, CT 06515-0651
Phone 203-397-3878 · Fax 203-397-9110
Mailing address
130 Amity RdNew Haven, CT 06515-1405
Phone 203-397-3878 · Fax 203-397-9110
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