Organization
AMAZING VICTORY LLC
Active
Other names
Amazing Victory Health and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LAROSE APRN (CEO)
(475) 500-2334
Entity
Organization
Contact information
Practice address
1201 KINGS HWY STE 2, FAIRFIELD, CT 06824-5319
(475) 500-2334
Mailing address
1201 KINGS HWY STE 2, FAIRFIELD, CT 06824-5319
(475) 500-2334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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