| NPI | 1760076178 |
|---|---|
| Doing Business As | COMMON ROOTS NUTRITION |
| Entity Type | Organization |
| Authorized Contact | MICHAEL OUELLETTE Owner/Managing Member 860-222-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |