| NPI | 1073755930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A TUCKER Owner 860-941-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000358) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000375) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |