Individual
MEDEYA TSNOBILADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
5 MYRTLE ST, NORWALK, CT 06855-1315
(203) 642-4710
Mailing address
5 MYRTLE ST, NORWALK, CT 06855-1315
(203) 642-4710
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000408
CT
Other
Enumeration date
02/22/2009
Last updated
08/12/2010
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