| NPI | 1164880068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE FUQUA Owner 203-909-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 356) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 649) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |