Organization
AIM100NUTRITION, LLC
Active
Other names
AIM100NUTRITION.COM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK DORVILUS M.D. (MEDICAL DIRECTOR)
(860) 649-6944
Entity
Organization
Contact information
Practice address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 649-6944
Mailing address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 649-6944
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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