Doctor Name: | MRS. CYNTHIA LOUISE DAIGNEAULT |
NPI Number: | 1124222336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ABOC NCLEC RDO FNAO |
License Number: | 5810 |
Business Practice Address: | 285 Forest Grove Ave Wrentham, MA - 020931006 |
Business Phone Number: | 5083843688 |
Business Fax Number: | 5083843688 |
Mailing Address: | 285 Forest Grove Ave, WRENTHAM |
State: | MA |
Postal Code: | 020931006 |
Phone Number: | 5083843688 |
Fax Number: | 5083843688 |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 5810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |