Organization
THE HERBAL ROOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO REALE N.D. (NATUROPATHIC PHYSICIAN/OWNER)
(860) 748-6624
Entity
Organization
Contact information
Practice address
135 MAIN ST, WETHERSFIELD, CT 06109-3125
(860) 257-7210
Mailing address
135 MAIN ST, WETHERSFIELD, CT 06109-3125
(860) 257-7210
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000567
CT
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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