| NPI | 1407175706 |
|---|---|
| Doing Business As | AIM100NUTRITION.COM |
| Entity Type | Organization |
| Authorized Contact | PATRICK DORVILUS Medical Director 860-649-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |