Organization
GUT WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GLICK (OWNER)
(301) 908-5761
Entity
Organization
Contact information
Practice address
37 FITCH AVE, NEW LONDON, CT 06320-5330
(301) 908-5761
Mailing address
37 FITCH AVE, NEW LONDON, CT 06320-5330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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