LIVE WELL LLC

EAST HARTFORD, CT
NPI1093563645
Entity TypeOrganization
Authorized ContactTHERESA ANTWI
Ap RN
240-408-0736
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
LIVE WELL LLC
1331 BURNSIDE AVE APT A4
EAST HARTFORD, CT 06108-1577
Phone number: 240-408-0736
Mailing Address
LIVE WELL LLC
304 W MAIN ST STE 2
AVON, CT 06001-4355
Phone number: 240-408-0736
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