Organization
RENEWED HEALTH AND WELLNESS LLC
Active
Organization
RENEWED HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AWILDA ALTAGRACIA LUGO MENDEZ FNP (MANAGING MEMBER)
(203) 510-1187
Entity
Organization
Contact information
Practice address
615 W JOHNSON AVE STE 202-1061, CHESHIRE, CT 06410-4531
(475) 377-0887
(806) 454-5698
Mailing address
615 W JOHNSON AVE STE 202-1061, CHESHIRE, CT 06410-4531
(475) 377-0887
(806) 454-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2022
Last updated
08/04/2022
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