Soo Dewolf

NPI 1699143685 · on the registry since 2015 · sole proprietor

Practice

Address: 450 Providence Rd
Brooklyn, CT 06234
Phone: (860) 412-5144
Fax: (860) 412-5138
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Quiet Corner Eyecare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut