Organization
HEAL YOURSELF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA ALEXANDROVNA POTSELUEVA ND (VICE PRESIDENT)
(860) 664-3651
Entity
Organization
Contact information
Practice address
10 HEMLOCK HILL RD, CLINTON, CT 06413-1108
(860) 664-3651
Mailing address
10 HEMLOCK HILL RD, CLINTON, CT 06413-1108
(860) 664-3651
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000520
CT
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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