Organization
VITALITY INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA LICCIARDO ND (OWNER)
(732) 245-5645
Entity
Organization
Contact information
Practice address
46 LEBANON RD UNIT 5A, BOZRAH, CT 06334-1116
(860) 800-2240
(833) 913-2431
Mailing address
46 LEBANON RD UNIT 5A, BOZRAH, CT 06334-1116
(860) 800-2240
(833) 913-2431
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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