Organization
INNERWORLD NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA MARIE MARTIN RDN, CDN, LDN (REGISTERED DIETITIAN)
(860) 652-5719
Entity
Organization
Contact information
Practice address
11 HIGH ST, SUITE 111, SUFFIELD, CT 06078-2125
(860) 652-5719
Mailing address
11 HIGH ST, SUITE 111, SUFFIELD, CT 06078-2125
(860) 652-5719
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000781
CT
Other
Enumeration date
04/05/2017
Last updated
01/11/2018
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